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Esophageal Birth Defect Repair, Infant

Illinois 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?

$3,548

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $3,548 for this service. The price depends on where it is billed: about $3,548 from a physician practice, and about $3,388 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 6 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$3,548$3,020 to $5,129
FacilityA hospital or hospital-owned outpatient department$3,388$1,862 to $5,623

How much rates vary

Facilitymedian $3,388 · 10th to 90th $1,148 to $9,772Professionalmedian $3,548 · 10th to 90th $2,754 to $7,762
$500$1K$2K$5K$10K$20K$50Kfacility $3,388professional $3,548

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
$3,388.44
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,235.94
Typical High
$7,244.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$37,153.52
Typical High
$70,794.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$4,265.80
Typical High
$5,623.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$4,168.69
Typical High
$6,760.83
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$6,165.95
Typical High
$18,197.01
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$4,073.80
Typical High
$4,570.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$4,365.16
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$2,884.03
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,890.45
Typical High
$6,456.54

Where Illinois 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.

Illinois· 27th of 51

$3,548

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.