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Esophageal Birth Defect Repair, Infant

South Dakota 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?

$4,365

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $4,365 for this service. The price depends on where it is billed: about $4,365 from a physician practice, and about $4,365 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 7 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$4,365$2,884 to $6,310
FacilityA hospital or hospital-owned outpatient department$4,365$3,090 to $5,495

How much rates vary

Facilitymedian $4,365 · 10th to 90th $2,512 to $7,244Professionalmedian $4,365 · 10th to 90th $2,630 to $8,511
$2K$5K$10K$20Kfacility $4,365professional $4,365

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
$2,818.38
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,754.23
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$6,760.83
Typical High
$8,511.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$4,265.80
Typical High
$7,762.47
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$4,570.88
Typical High
$22,387.21
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$6,760.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$6,025.60
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$4,786.30
Typical High
$6,025.60
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$4,677.35
Typical High
$7,762.47
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$7,413.10
Typical High
$7,413.10

Where South Dakota 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 Dakota· 10th of 51

$4,365

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.