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Closure Of A Food Pipe Opening, Chest Or Abdomen

Georgia rates for HCPCS 43425

Surgery to close an abnormal opening or channel involving the food pipe, reached through the chest or through the abdomen. The edges are freed from surrounding tissue and stitched closed, often with healthy tissue laid over the repair to reinforce it. It is done to close an opening that was created deliberately at an earlier operation, or a leak that has formed between the food pipe and a neighbouring structure.

Rates data updated July 2026.

How much does Closure Of A Food Pipe Opening, Chest Or Abdomen cost?

$1,820

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $1,820 for this service. The price depends on where it is billed: about $1,698 from a physician practice, and about $4,365 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 7 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$1,698$1,445 to $2,344
FacilityA hospital or hospital-owned outpatient department$4,365$1,905 to $6,607

How much rates vary

Facilitymedian $4,365 · 10th to 90th $1,072 to $10,000Professionalmedian $1,698 · 10th to 90th $1,349 to $2,951
$500$1K$2K$5K$10K$20Kfacility $4,365professional $1,698

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
$1,513.56
Median
$4,570.88
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,584.89
Typical High
$2,818.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$4,073.80
Typical High
$15,488.17
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,398.83
Typical High
$3,548.13
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$549.54
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,995.26
Typical High
$3,311.31
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,862.09
Typical High
$3,630.78
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$2,344.23
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,778.28
Typical High
$3,162.28

Where Georgia 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.

Georgia· 20th of 51

$1,820

MN $3,236KY $1,445

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.