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Esophageal Birth Defect Repair, Infant

Oklahoma 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?

$3,162

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $3,162 for this service. The price depends on where it is billed: about $3,162 from a physician practice, and about $2,951 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$3,162$2,884 to $3,715
FacilityA hospital or hospital-owned outpatient department$2,951$1,380 to $4,169

How much rates vary

Facilitymedian $2,951 · 10th to 90th $1,000 to $6,457Professionalmedian $3,162 · 10th to 90th $2,630 to $5,129
$500$1K$2K$5K$10K$20Kfacility $2,951professional $3,162

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
$1,000.00
Median
$2,089.30
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,090.30
Typical High
$4,365.16
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,801.89
Typical High
$4,897.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$3,548.13
Typical High
$4,897.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$3,548.13
Typical High
$5,888.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,548.13
Typical High
$22,387.21
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$2,570.40
Typical High
$6,165.95
United
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,235.94
Typical High
$4,786.30

Where Oklahoma 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.

Oklahoma· 49th of 51

$3,162

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.