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Esophageal Birth Defect Repair, Infant

Vermont 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?

$3,090

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $3,090 for this service. Most negotiated rates run $3,020 to $3,631.

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.

How much rates vary

Professionalmedian $3,090 · 10th to 90th $2,754 to $4,266
$5Kprofessional $3,090

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
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,090.30
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$4,265.80
Typical High
$6,456.54
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$4,073.80
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$4,073.80
Typical High
$6,760.83

Where Vermont 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.

Vermont· 50th of 51

$3,090

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.