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Esophageal Birth Defect Repair, Infant

Indiana 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?

$3,467

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $3,467 for this service. The price depends on where it is billed: about $3,311 from a physician practice, and about $15,488 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 5 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$3,311$2,951 to $3,890
FacilityA hospital or hospital-owned outpatient department$15,488$9,550 to $22,909

How much rates vary

Facilitymedian $15,488 · 10th to 90th $3,715 to $25,704Professionalmedian $3,311 · 10th to 90th $2,630 to $5,012
$2K$5K$10K$20Kfacility $15,488professional $3,311

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
$2,344.23
Median
$4,466.84
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,162.28
Typical High
$4,466.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$18,620.87
Typical High
$26,302.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,715.35
Typical High
$5,888.44
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$3,019.95
Typical High
$3,388.44
CareSource
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$4,570.88
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$3,801.89
Typical High
$5,888.44
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$6,025.60
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,311.31
Typical High
$5,128.61

Where Indiana 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.

Indiana· 30th of 51

$3,467

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.