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Esophageal Birth Defect Repair, Infant

New Mexico 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?

$3,236

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $3,236 for this service. The price depends on where it is billed: about $3,236 from a physician practice, and about $3,981 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$3,236$2,884 to $4,365
FacilityA hospital or hospital-owned outpatient department$3,981$3,236 to $4,786

How much rates vary

Facilitymedian $3,981 · 10th to 90th $2,818 to $7,079Professionalmedian $3,236 · 10th to 90th $2,630 to $6,761
$50$200$1K$5Kfacility $3,981professional $3,236

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
$2,089.30
Median
$4,570.88
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,090.30
Typical High
$7,762.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,801.89
Typical High
$5,495.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$4,073.80
Typical High
$6,025.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$4,570.88
Providence
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,981.07
Typical High
$6,456.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$4,365.16
Typical High
$6,918.31
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$4,365.16
Typical High
$12,589.25
United
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$4,073.80
Typical High
$6,165.95

Where New Mexico 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 Mexico· 37th of 51

$3,236

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.