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Esophageal Birth Defect Repair, Infant

South Carolina 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?

$3,548

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $3,548 for this service. The price depends on where it is billed: about $3,388 from a physician practice, and about $4,266 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$3,388$2,951 to $3,981
FacilityA hospital or hospital-owned outpatient department$4,266$3,548 to $6,457

How much rates vary

Facilitymedian $4,266 · 10th to 90th $3,090 to $16,596Professionalmedian $3,388 · 10th to 90th $2,754 to $6,166
$50$200$1K$5K$20Kfacility $4,266professional $3,388

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
$3,630.78
Median
$9,120.11
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,388.44
Typical High
$6,165.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,388.44
Typical High
$5,248.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$562.34
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,801.89
Typical High
$7,413.10
Medcost
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,466.84
Typical High
$5,011.87
Medcost
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$6,309.57
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$6,025.60
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,311.31
Typical High
$5,754.40

Where South Carolina 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.

South Carolina· 28th of 51

$3,548

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.