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Esophageal Birth Defect Repair, Infant

Idaho 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?

$3,981

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $3,981 for this service. The price depends on where it is billed: about $3,890 from a physician practice, and about $4,467 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 8 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$3,890$3,090 to $5,754
FacilityA hospital or hospital-owned outpatient department$4,467$3,631 to $6,310

How much rates vary

Facilitymedian $4,467 · 10th to 90th $3,020 to $10,715Professionalmedian $3,890 · 10th to 90th $2,818 to $7,762
$5K$10K$20Kfacility $4,467professional $3,890

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
$4,466.84
Median
$4,466.84
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,548.13
Typical High
$8,912.51
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$11,481.54
Typical High
$13,803.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$5,754.40
Typical High
$6,025.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$4,365.16
Typical High
$5,754.40
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$4,265.80
Typical High
$7,762.47
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$5,370.32
Typical High
$5,888.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$2,570.40
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$5,754.40
Typical High
$7,079.46
Select Health
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$6,606.93
Select Health
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,570.40
Typical High
$5,623.41
United
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$15,488.17
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$4,073.80
Typical High
$6,025.60

Where Idaho 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.

Idaho· 13th of 51

$3,981

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.