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Esophageal Birth Defect Repair, Infant

Washington 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?

$4,266

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $4,266 for this service. The price depends on where it is billed: about $3,890 from a physician practice, and about $5,888 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 10 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$5,888$4,074 to $7,244

How much rates vary

Facilitymedian $5,888 · 10th to 90th $3,090 to $8,913Professionalmedian $3,890 · 10th to 90th $2,692 to $7,943
$50$200$1K$5K$20Kfacility $5,888professional $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
$3,890.45
Median
$7,585.78
Typical High
$18,620.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,548.13
Typical High
$8,511.38
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$5,888.44
Typical High
$7,585.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$870.96
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$4,677.35
Typical High
$9,120.11
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$5,495.41
Typical High
$7,762.47
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$4,786.30
Typical High
$7,585.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,348.96
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$5,754.40
Typical High
$5,888.44
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,265.80
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$6,165.95
Typical High
$8,912.51
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$5,888.44
Typical High
$7,585.78
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,318.26
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$4,365.16
Typical High
$7,943.28
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,019.95
Typical High
$5,754.40

Where Washington 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.

Washington· 12th of 51

$4,266

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.