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Esophageal Birth Defect Repair, Infant

Nebraska 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?

$3,981

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $3,981 for this service. The price depends on where it is billed: about $3,631 from a physician practice, and about $7,943 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$3,631$3,020 to $5,495
FacilityA hospital or hospital-owned outpatient department$7,943$4,571 to $13,490

How much rates vary

Facilitymedian $7,943 · 10th to 90th $3,467 to $14,791Professionalmedian $3,631 · 10th to 90th $2,754 to $8,913
$2K$5K$10K$20Kfacility $7,943professional $3,631

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
$6,025.60
Median
$8,511.38
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,235.94
Typical High
$8,912.51
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$14,791.08
Typical High
$28,840.32
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$4,466.84
Typical High
$6,025.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$5,623.41
Typical High
$8,511.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$4,365.16
Typical High
$6,918.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$5,754.40
Typical High
$22,387.21
Midlands
Setting
Professional
Modifier
Global
Typical Low
$5,754.40
Median
$6,760.83
Typical High
$9,772.37
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$5,754.40
Typical High
$9,772.37
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$4,897.79
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$4,897.79
Typical High
$7,079.46

Where Nebraska 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.

Nebraska· 14th of 51

$3,981

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.