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Esophageal Birth Defect Repair, Infant

Missouri 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?

$3,631

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $3,631 for this service. The price depends on where it is billed: about $3,548 from a physician practice, and about $4,467 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 $4,898
FacilityA hospital or hospital-owned outpatient department$4,467$2,884 to $5,888

How much rates vary

Facilitymedian $4,467 · 10th to 90th $2,138 to $9,772Professionalmedian $3,548 · 10th to 90th $2,754 to $8,710
$1K$2K$5K$10K$20Kfacility $4,467professional $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
$1,778.28
Median
$3,890.45
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,467.37
Typical High
$8,709.64
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,786.30
Typical High
$10,471.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$3,548.13
Typical High
$5,754.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$3,548.13
Typical High
$5,011.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,801.89
Typical High
$6,165.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$3,890.45
Typical High
$7,943.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$4,466.84
Typical High
$22,387.21
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,884.03
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,715.35
Typical High
$6,309.57

Where Missouri 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.

Missouri· 21st of 51

$3,631

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.