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Esophageal Birth Defect Repair, Infant

Florida 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 Florida, July 2026.

Insurers have agreed to pay about $3,236 for this service. The price depends on where it is billed: about $3,162 from a physician practice, and about $8,318 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$3,162$2,818 to $3,631
FacilityA hospital or hospital-owned outpatient department$8,318$3,236 to $13,183

How much rates vary

Facilitymedian $8,318 · 10th to 90th $1,230 to $25,704Professionalmedian $3,162 · 10th to 90th $2,512 to $4,898
$100$1K$10Kfacility $8,318professional $3,162

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
$1,148.15
Median
$6,025.60
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,162.28
Typical High
$4,897.79
AvMed
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$4,897.79
Typical High
$12,302.69
AvMed
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,235.94
Typical High
$3,630.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$512.86
Typical High
$9,332.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,890.45
Typical High
$6,606.93
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$21,877.62
Typical High
$33,884.42
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,884.03
Typical High
$3,715.35
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$3,890.45
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$4,365.16
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,235.94
Typical High
$6,025.60
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$3,388.44

Where Florida 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.

Florida· 47th 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.