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Other Esophagus Procedure

Michigan rates for HCPCS 43499

Covers an operation on the esophagus, the tube that carries food from the throat to the stomach, that does not match any of the standard named esophageal procedures. The surgeon submits a written report describing what was done so the insurer can review it. It is used for unusual, complex or newly developed operations.

Rates data updated July 2026.

How much does Other Esophagus Procedure cost?

$2,042

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $2,042 for this service. The price depends on where it is billed: about $1,585 from a physician practice, and about $2,042 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 3 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$1,585$1,288 to $2,239
FacilityA hospital or hospital-owned outpatient department$2,042$1,514 to $4,898

How much rates vary

Facilitymedian $2,042 · 10th to 90th $977 to $4,898Professionalmedian $1,585 · 10th to 90th $1,202 to $2,239
$500$1K$2K$5Kfacility $2,042professional $1,585

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
$977.24
Median
$2,041.74
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$3,019.95
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,380.38
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$2,398.83
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57

Where Michigan sits

The same service costs 14.8 times more in Wisconsin than in Maryland. 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.

Michigan· 34th of 50

$2,042

WI $8,710MD $589

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.