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Esophagus Lengthening During Hernia Surgery

South Dakota rates for HCPCS 43338

A step added during surgery on the esophagus or the diaphragm, in which a new length of food pipe is shaped from the upper part of the stomach. It is done when the esophagus is too short to sit comfortably below the diaphragm, and is billed in addition to the main operation.

Rates data updated July 2026.

How much does Esophagus Lengthening During Hernia Surgery cost?

$381

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $381 for this procedure. That total is two separate charges: $186 to the doctor who performs it, and $195 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$186$129 to $240
Facility feeThe hospital or surgery center$195$129 to $309

How much rates vary

Facilitymedian $195 · 10th to 90th $107 to $4,365Professionalmedian $186 · 10th to 90th $100 to $302
$100$200$500$1K$2Kfacility $195professional $186

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$100.00
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$239.88
Typical High
$302.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$169.82
Typical High
$323.59
Medica
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$190.55
Typical High
$812.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$257.04
Typical High
$257.04
Midlands
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$190.55
Typical High
$218.78
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
$125.89
Median
$190.55
Typical High
$295.12
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$263.03
Typical High
$263.03

Where South Dakota sits

The same service costs 81.5 times more in Indiana than in West Virginia. 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.

Physician feeFacility fee

South Dakota· 42nd of 50

$381

$186 physician + $195 facility

IN $20,079WV $246

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.