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Closure Of Esophagus Opening In The Neck

Washington, DC 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?

$1,148

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $1,148 for this service. Most negotiated rates run $1,047 to $1,202.

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 $4,074 · 10th to 90th $1,202 to $7,762Professionalmedian $1,148 · 10th to 90th $891 to $1,514
$1K$2K$5K$10K$20Kfacility $4,074professional $1,148

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
$1,202.26
Median
$4,073.80
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,148.15
Typical High
$1,202.26
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,096.48
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,202.26
Typical High
$2,818.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$954.99
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$10,000.00
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,174.90
Typical High
$2,454.71

Where Washington, DC sits

The same service costs 2.5 times more in California 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, DC· 37th of 51

$1,148

CA $2,512KY $1,000

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.