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Closure Of Esophagus Opening In The Neck

California rates for HCPCS 43420

Closes an existing opening or abnormal channel involving the food pipe in the neck. The tract is separated from the skin or the neighboring structure it connects to, and the wall of the food pipe is stitched shut in layers. It is done once an opening created earlier is no longer needed, or when a channel has formed that should not be there.

Rates data updated July 2026.

How much does Closure Of Esophagus Opening In The Neck cost?

$9,832

Typical total for the visit. In California, July 2026.

Insurers have agreed to pay about $9,832 for this procedure. That total is two separate charges: $1,122 to the doctor who performs it, and $8,710 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 13 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,122$955 to $1,622
Facility feeThe hospital or surgery center$8,710$5,248 to $13,804

How much rates vary

Facilitymedian $8,710 · 10th to 90th $1,698 to $16,982Professionalmedian $1,122 · 10th to 90th $794 to $3,890
$100$500$2K$10Kfacility $8,710professional $1,122

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
$2,398.83
Median
$6,456.54
Typical High
$18,197.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,096.48
Typical High
$5,495.41
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$11,220.18
Typical High
$17,782.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,202.26
Typical High
$2,398.83
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$3,162.28
Typical High
$7,079.46
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$1,905.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$758.58
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,258.93
Typical High
$2,398.83
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$891.25
Typical High
$1,348.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,000.00
Typical High
$2,137.96
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$8,317.64
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$7,413.10
Median
$8,511.38
Typical High
$8,511.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Optum
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,202.26
Typical High
$2,041.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,258.93
Typical High
$2,570.40
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$912.01
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$7,079.46
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,096.48
Typical High
$2,187.76

Where California sits

The same service costs 5.0 times more in California than in Maine. 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

California· 1st of 50

$9,832

$1,122 physician + $8,710 facility

CA $9,832ME $1,951

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.