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Esophageal Birth Defect Repair, Infant

New York 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?

$3,890

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $3,890 for this service. The price depends on where it is billed: about $3,631 from a physician practice, and about $6,026 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 9 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$2,884 to $5,495
FacilityA hospital or hospital-owned outpatient department$6,026$3,802 to $9,333

How much rates vary

Facilitymedian $6,026 · 10th to 90th $2,630 to $12,589Professionalmedian $3,631 · 10th to 90th $2,570 to $8,710
$1K$2K$5K$10K$20Kfacility $6,026professional $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
$2,570.40
Median
$4,073.80
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,235.94
Typical High
$7,762.47
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$7,762.47
Typical High
$13,489.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,818.38
Typical High
$6,025.60
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$37,153.52
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$5,128.61
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$4,265.80
Typical High
$10,964.78
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$4,897.79
Typical High
$11,220.18
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$4,466.84
Typical High
$7,244.36
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$2,884.03
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,715.35
Typical High
$6,456.54
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$3,981.07
Typical High
$7,762.47
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$4,073.80
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$5,128.61
Typical High
$38,904.51
Univera
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$3,630.78
Typical High
$11,748.98
Univera
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,630.78
Typical High
$7,762.47

Where New York 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 York· 15th of 51

$3,890

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.