go back

Esophageal Birth Defect Repair, Infant

Hawaii 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 physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $3,236 for this service. Most negotiated rates run $2,884 to $3,981.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,818 · 10th to 90th $2,512 to $2,818Professionalmedian $3,236 · 10th to 90th $2,630 to $4,677
$1K$2K$5Kfacility $2,818professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,951.21
Typical High
$4,466.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$4,073.80
Typical High
$8,317.64
HMSA
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$4,466.84
Typical High
$5,248.07
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,311.31
Typical High
$4,168.69
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,548.13
Typical High
$4,786.30
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$3,162.28
Typical High
$4,786.30

Where Hawaii 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.

Hawaii· 40th 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.