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Esophageal Birth Defect Repair, Infant

Rhode Island 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?

$3,631

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $3,631 for this service. The price depends on where it is billed: about $3,631 from a physician practice, and about $3,548 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 4 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$2,951 to $3,631
FacilityA hospital or hospital-owned outpatient department$3,548$1,660 to $5,129

How much rates vary

Facilitymedian $3,548 · 10th to 90th $603 to $6,607Professionalmedian $3,631 · 10th to 90th $2,754 to $4,467
$200$500$1K$2K$5Kfacility $3,548professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,630.78
Typical High
$3,890.45
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$4,073.80
Typical High
$6,025.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$4,365.16
Typical High
$7,079.46
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$2,238.72
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,467.37
Typical High
$6,456.54

Where Rhode Island 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.

Rhode Island· 25th of 51

$3,631

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.