go back

Esophageal Birth Defect Repair, Infant

Utah 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?

$3,890

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $3,890 for this service. The price depends on where it is billed: about $3,890 from a physician practice, and about $3,890 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$3,890$3,020 to $6,166
FacilityA hospital or hospital-owned outpatient department$3,890$3,388 to $4,571

How much rates vary

Facilitymedian $3,890 · 10th to 90th $3,162 to $6,026Professionalmedian $3,890 · 10th to 90th $2,818 to $8,913
$50$200$1K$5Kfacility $3,890professional $3,890

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
$3,162.28
Median
$3,890.45
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,890.45
Typical High
$8,912.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$3,890.45
Typical High
$6,456.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$7,244.36
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$4,466.84
Typical High
$6,165.95
Select Health
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$5,754.40
Select Health
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$5,128.61
Typical High
$6,025.60
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$4,466.84
Typical High
$6,456.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$4,466.84
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,388.44
Typical High
$5,248.07

Where Utah 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.

Utah· 16th of 51

$3,890

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.