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Esophageal Birth Defect Repair, Infant

Ohio 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 Ohio, July 2026.

Insurers have agreed to pay about $3,311 for this service. The price depends on where it is billed: about $3,236 from a physician practice, and about $8,913 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 8 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 $3,890
FacilityA hospital or hospital-owned outpatient department$8,913$3,715 to $12,589

How much rates vary

Facilitymedian $8,913 · 10th to 90th $2,512 to $19,055Professionalmedian $3,236 · 10th to 90th $2,570 to $4,898
$100$1K$10Kfacility $8,913professional $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
$3,388.44
Median
$9,549.93
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,235.94
Typical High
$4,265.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$9,549.93
Typical High
$21,877.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,162.28
Typical High
$5,011.87
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$3,019.95
Typical High
$3,890.45
CareSource
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,715.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$4,570.88
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,981.07
Typical High
$6,760.83
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$5,248.07
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$3,981.07
Typical High
$6,309.57
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$3,467.37
Typical High
$6,606.93
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$2,884.03
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,388.44
Typical High
$5,754.40

Where Ohio 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.

Ohio· 34th 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.