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Esophageal Birth Defect Repair, Infant

Colorado 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?

$3,715

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $3,715 for this service. The price depends on where it is billed: about $3,388 from a physician practice, and about $6,761 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 7 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$3,388$3,020 to $4,074
FacilityA hospital or hospital-owned outpatient department$6,761$3,981 to $11,482

How much rates vary

Facilitymedian $6,761 · 10th to 90th $3,162 to $17,378Professionalmedian $3,388 · 10th to 90th $2,754 to $5,623
$5K$10K$20Kfacility $6,761professional $3,388

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
$3,090.30
Median
$5,370.32
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,162.28
Typical High
$4,677.35
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$11,481.54
Typical High
$19,498.45
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$4,073.80
Typical High
$6,165.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$891.25
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$4,073.80
Typical High
$5,888.44
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$3,981.07
Typical High
$6,165.95
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,981.07
Typical High
$14,791.08
Select Health
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$5,623.41
Typical High
$5,888.44
Select Health
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,090.30
Typical High
$4,570.88
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$6,760.83
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$4,073.80
Typical High
$6,309.57

Where Colorado 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.

Colorado· 20th of 51

$3,715

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.