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Esophageal Birth Defect Repair, Infant

New Jersey 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?

$3,311

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $3,311 for this service. The price depends on where it is billed: about $3,311 from a physician practice, and about $6,918 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$3,311$2,818 to $4,266
FacilityA hospital or hospital-owned outpatient department$6,918$4,571 to $10,233

How much rates vary

Facilitymedian $6,918 · 10th to 90th $2,884 to $11,749Professionalmedian $3,311 · 10th to 90th $2,512 to $6,310
$1K$2K$5K$10Kfacility $6,918professional $3,311

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
$4,365.16
Median
$6,918.31
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,235.94
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$3,715.35
Typical High
$7,244.36
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$4,265.80
Typical High
$6,025.60
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$223.87
Typical High
$251.19
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,311.31
Typical High
$7,079.46
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$4,786.30
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$3,467.37
Typical High
$6,456.54

Where New Jersey 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 Jersey· 36th of 51

$3,311

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.