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Esophageal Birth Defect Repair, Infant

North Dakota 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?

$5,495

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $5,495 for this service. The price depends on where it is billed: about $5,888 from a physician practice, and about $2,818 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$5,888$2,818 to $7,244
FacilityA hospital or hospital-owned outpatient department$2,818$2,754 to $4,467

How much rates vary

Facilitymedian $2,818 · 10th to 90th $2,754 to $8,511Professionalmedian $5,888 · 10th to 90th $2,630 to $7,943
$1K$2K$5K$10Kfacility $2,818professional $5,888

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
$2,754.23
Median
$2,818.38
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,818.38
Typical High
$7,762.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$6,760.83
Typical High
$7,943.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$5,495.41
Typical High
$8,511.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$4,168.69
Typical High
$6,456.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$4,786.30
Typical High
$22,387.21
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,819.70
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$4,073.80
Typical High
$6,760.83

Where North Dakota 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 Dakota· 3rd of 51

$5,495

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.