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Esophageal Birth Defect Repair, Infant

Arizona rates for HCPCS 43314

This service is a reconstructive operation on the esophagus - the tube connecting the throat to the stomach - to correct a birth defect, such as an abnormal connection between the esophagus and windpipe or a section of esophagus that did not form properly. It is typically performed in an infant shortly after the condition is diagnosed. The goal is to restore a normal, functioning connection between the throat and stomach.

Rates data updated July 2026.

How much does Esophageal Birth Defect Repair, Infant cost?

$3,236

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $3,236 for this service. The price depends on where it is billed: about $3,236 from a physician practice, and about $3,890 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,236$2,884 to $3,981
FacilityA hospital or hospital-owned outpatient department$3,890$2,692 to $5,623

How much rates vary

Facilitymedian $3,890 · 10th to 90th $1,778 to $8,318Professionalmedian $3,236 · 10th to 90th $2,630 to $6,166
$100$500$2K$10Kfacility $3,890professional $3,236

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$4,677.35
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,235.94
Typical High
$5,128.61
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$6,918.31
Typical High
$13,489.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$3,890.45
Typical High
$6,760.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$23,442.29
Typical High
$23,442.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,467.37
Typical High
$6,165.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$3,388.44
Typical High
$5,623.41
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,715.35
Typical High
$22,387.21
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,187.76
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,162.28
Typical High
$5,623.41

Where Arizona sits

The same service costs 2.2 times more in Minnesota than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Arizona· 44th of 51

$3,236

MN $6,918KY $3,090

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.