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Esophageal Birth Defect Repair, Infant

Iowa 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?

$4,677

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $4,677 for this service. The price depends on where it is billed: about $4,169 from a physician practice, and about $5,495 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$4,169$3,162 to $6,457
FacilityA hospital or hospital-owned outpatient department$5,495$4,266 to $6,761

How much rates vary

Facilitymedian $5,495 · 10th to 90th $2,951 to $7,943Professionalmedian $4,169 · 10th to 90th $2,754 to $12,023
$500$1K$2K$5K$10K$20K$50Kfacility $5,495professional $4,169

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
$5,011.87
Median
$6,456.54
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,801.89
Typical High
$9,549.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$6,760.83
Typical High
$8,511.38
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$5,623.41
Typical High
$14,125.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$5,011.87
Typical High
$7,943.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$5,495.41
Typical High
$22,387.21
Midlands
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$6,760.83
Typical High
$8,511.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$5,888.44
Typical High
$8,511.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$4,897.79
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$4,365.16
Typical High
$8,128.31
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$6,309.57
Typical High
$7,079.46

Where Iowa 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.

Iowa· 8th of 51

$4,677

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.