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Esophageal Birth Defect Repair, Infant

Kentucky 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?

$3,090

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $3,090 for this service. The price depends on where it is billed: about $3,090 from a physician practice, and about $7,244 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$3,090$2,884 to $3,715
FacilityA hospital or hospital-owned outpatient department$7,244$3,631 to $9,550

How much rates vary

Facilitymedian $7,244 · 10th to 90th $851 to $11,220Professionalmedian $3,090 · 10th to 90th $2,570 to $4,467
$50$200$1K$5K$20Kfacility $7,244professional $3,090

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
$851.14
Median
$3,801.89
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,090.30
Typical High
$4,265.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$10,715.19
Typical High
$15,135.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,019.95
Typical High
$4,265.80
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$3,311.31
Typical High
$4,677.35
CareSource
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,630.78
Typical High
$4,570.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$5,128.61
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$4,265.80
Typical High
$18,197.01
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$4,168.69
Typical High
$28,183.83
United
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,548.13
Typical High
$5,623.41

Where Kentucky 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.

Kentucky· 51st of 51

$3,090

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.