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Esophageal Birth Defect Repair, Infant

Michigan 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?

$3,388

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $3,388 for this service. The price depends on where it is billed: about $3,311 from a physician practice, and about $4,898 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$3,311$2,951 to $4,169
FacilityA hospital or hospital-owned outpatient department$4,898$3,981 to $4,898

How much rates vary

Facilitymedian $4,898 · 10th to 90th $3,020 to $6,918Professionalmedian $3,311 · 10th to 90th $2,754 to $4,786
$500$1K$2K$5K$10Kfacility $4,898professional $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
$3,981.07
Median
$4,897.79
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,235.94
Typical High
$4,570.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$2,754.23
Typical High
$2,754.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$4,466.84
Typical High
$4,786.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,715.35
Typical High
$7,413.10
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$4,897.79
Typical High
$8,709.64
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$3,388.44
Typical High
$4,677.35
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,548.13
Typical High
$12,302.69
United
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$3,890.45
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,715.35
Typical High
$5,370.32

Where Michigan 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.

Michigan· 31st of 51

$3,388

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.