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Esophageal Birth Defect Repair, Infant

Tennessee 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?

$3,236

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $3,236 for this service. The price depends on where it is billed: about $3,236 from a physician practice, and about $2,570 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$3,236$3,020 to $4,074
FacilityA hospital or hospital-owned outpatient department$2,570$1,905 to $3,981

How much rates vary

Facilitymedian $2,570 · 10th to 90th $955 to $7,586Professionalmedian $3,236 · 10th to 90th $2,630 to $6,166
$100$500$2K$10Kfacility $2,570professional $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
$2,398.83
Median
$2,818.38
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,162.28
Typical High
$5,128.61
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$2,398.83
Typical High
$4,677.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$4,466.84
Typical High
$6,606.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$512.86
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,981.07
Typical High
$6,309.57
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$19,054.61
Typical High
$19,054.61
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$21,877.62
Median
$26,915.35
Typical High
$26,915.35
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$2,290.87
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,548.13
Typical High
$5,754.40

Where Tennessee 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.

Tennessee· 41st of 51

$3,236

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.