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Esophageal Birth Defect Repair, Infant

Washington, DC 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?

$3,388

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $3,388 for this service. Most negotiated rates run $2,951 to $3,631.

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.

How much rates vary

Facilitymedian $3,631 · 10th to 90th $1,698 to $7,762Professionalmedian $3,388 · 10th to 90th $2,692 to $4,467
$1K$2K$5K$10Kfacility $3,631professional $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
$1,698.24
Median
$3,630.78
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,388.44
Typical High
$3,630.78
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,235.94
Typical High
$3,981.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,548.13
Typical High
$8,511.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$3,162.28
Typical High
$6,918.31
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$2,344.23
Typical High
$16,218.10
United
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,467.37
Typical High
$7,413.10

Where Washington, DC 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.

Washington, DC· 32nd of 51

$3,388

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.