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Repair Of A Torn Food Pipe Through Chest Or Abdomen

South Carolina rates for HCPCS 43415

Stitches closed a tear, hole or wound in the esophagus, the tube that carries food from the throat to the stomach, reaching it through the chest or the upper abdomen. The area around the repair is cleaned out and drained, because leaking contents cause severe infection. This approach reaches the lower part of the tube, which cannot be dealt with from the neck.

Rates data updated July 2026.

How much does Repair Of A Torn Food Pipe Through Chest Or Abdomen cost?

$3,162

Typical facility fee. In South Carolina, July 2026.

Insurers have agreed to pay about $3,162 for this service. Most negotiated rates run $2,512 to $5,248.

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.

How much rates vary

Facilitymedian $3,162 · 10th to 90th $1,950 to $13,490Professionalmedian $2,188 · 10th to 90th $2,042 to $2,630
$1K$2K$5K$10K$20Kfacility $3,162professional $2,188

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
$3,019.95
Median
$9,120.11
Typical High
$22,908.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$6,309.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$562.34
Typical High
$4,265.80
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,187.76
Typical High
$2,630.27
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,884.03
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$6,025.60
Typical High
$9,120.11

Where South Carolina sits

The same service costs 17.4 times more in Maine than in Wyoming. 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.

South Carolina· 33rd of 50

$3,162

ME $22,387WY $1,288

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.