go back

Esophageal Birth Defect Repair, Infant

Georgia 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?

$3,802

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $3,802 for this service. The price depends on where it is billed: about $3,631 from a physician practice, and about $4,571 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$3,631$3,090 to $5,129
FacilityA hospital or hospital-owned outpatient department$4,571$2,188 to $6,607

How much rates vary

Facilitymedian $4,571 · 10th to 90th $1,072 to $10,000Professionalmedian $3,631 · 10th to 90th $2,884 to $6,607
$500$1K$2K$5K$10K$20Kfacility $4,571professional $3,631

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
$2,884.03
Median
$5,370.32
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,311.31
Typical High
$6,165.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$4,073.80
Typical High
$15,488.17
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$5,248.07
Typical High
$7,943.28
CareSource
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$2,884.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$512.86
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$4,168.69
Typical High
$7,079.46
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$3,890.45
Typical High
$7,585.78
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$2,454.71
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,715.35
Typical High
$6,606.93

Where Georgia 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.

Georgia· 19th of 51

$3,802

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.