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Esophageal Birth Defect Repair, Infant

New Hampshire 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?

$4,898

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $4,898 for this service. The price depends on where it is billed: about $4,677 from a physician practice, and about $15,136 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$4,677$3,467 to $6,457
FacilityA hospital or hospital-owned outpatient department$15,136$6,166 to $24,547

How much rates vary

Facilitymedian $15,136 · 10th to 90th $2,399 to $28,184Professionalmedian $4,677 · 10th to 90th $2,884 to $7,586
$100$500$2K$10Kfacility $15,136professional $4,677

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
$100.00
Median
$9,772.37
Typical High
$11,220.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,467.37
Typical High
$4,466.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$18,197.01
Typical High
$28,840.32
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$6,165.95
Typical High
$8,912.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$4,570.88
Typical High
$7,762.47
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$3,388.44
Typical High
$7,413.10
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$4,677.35
Typical High
$7,585.78
United
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$3,388.44
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$4,786.30
Typical High
$8,709.64
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,905.46
Typical High
$3,630.78

Where New Hampshire 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.

New Hampshire· 7th of 51

$4,898

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.