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Esophageal Birth Defect Repair, Infant

Montana 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?

$4,266

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $4,266 for this service. The price depends on where it is billed: about $3,890 from a physician practice, and about $5,248 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$3,890$2,818 to $5,623
FacilityA hospital or hospital-owned outpatient department$5,248$4,169 to $5,495

How much rates vary

Facilitymedian $5,248 · 10th to 90th $3,388 to $6,026Professionalmedian $3,890 · 10th to 90th $2,630 to $7,762
$100$200$500$1K$2K$5K$10Kfacility $5,248professional $3,890

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
$2,884.03
Typical High
$7,762.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$3,981.07
Typical High
$9,120.11
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$5,248.07
Typical High
$5,754.40
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$5,248.07
Typical High
$5,754.40
Providence
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$4,168.69
Typical High
$7,079.46
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$4,897.79
Typical High
$8,128.31
United
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$4,897.79
Typical High
$6,165.95

Where Montana 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.

Montana· 11th of 51

$4,266

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.