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Esophageal Birth Defect Repair, Infant

Maryland 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?

$3,236

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $3,236 for this service. Most negotiated rates run $2,884 to $3,631.

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.

How much rates vary

Facilitymedian $437 · 10th to 90th $302 to $1,230Professionalmedian $3,236 · 10th to 90th $2,630 to $4,677
$500$1K$2K$5K$10Kfacility $437professional $3,236

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
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,162.28
Typical High
$4,265.80
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$602.56
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,548.13
Typical High
$6,165.95
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,311.31
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$416.87
Typical High
$1,230.27
United
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,467.37
Typical High
$6,165.95
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,548.13
Typical High
$4,265.80

Where Maryland 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.

Maryland· 39th of 51

$3,236

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.