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Esophageal Birth Defect Repair, Infant

North Carolina 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?

$4,467

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $4,467 for this service. The price depends on where it is billed: about $4,571 from a physician practice, and about $3,802 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 7 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$4,571$3,467 to $6,310
FacilityA hospital or hospital-owned outpatient department$3,802$3,090 to $5,012

How much rates vary

Facilitymedian $3,802 · 10th to 90th $2,570 to $7,586Professionalmedian $4,571 · 10th to 90th $3,020 to $8,318
$500$1K$2K$5K$10Kfacility $3,802professional $4,571

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
$1,659.59
Median
$5,248.07
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,235.94
Typical High
$7,943.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$6,165.95
Typical High
$8,317.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$35,481.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$4,168.69
Typical High
$7,413.10
Medcost
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$3,801.89
Typical High
$5,888.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$7,762.47
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,467.37
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$2,041.74
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,235.94
Typical High
$5,754.40
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$19,054.61
Typical High
$19,054.61
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$21,877.62
Median
$21,877.62
Typical High
$26,915.35

Where North Carolina 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.

North Carolina· 9th of 51

$4,467

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.