Rigid Esophagus Scope With Balloon Widening

Nationwide rates for HCPCS 43195

A rigid, non-bending scope is passed through the mouth into the esophagus, and a balloon is inflated inside a narrowed section to stretch it open. Widening the passage makes swallowing easier when scarring or a tight ring has narrowed the food pipe. General anesthesia is normally used because of the rigid scope.

Rates data updated July 2026.

How much does Rigid Esophagus Scope With Balloon Widening cost?

$3,634

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $3,634 for this procedure. That total is two separate charges: $245 to the doctor who performs it, and $3,388 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

7% physician fee93% facility fee

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 57 insurance carriers under federal price transparency rules.

What's inside this number

Part of the bill	Who charges it	Typical	Range
Physician feeThe doctor who performs it	The doctor who performs it	$245	$178 to $398
Facility feeThe hospital or surgery center	The hospital or surgery center	$3,388	$1,148 to $5,888

How much rates vary

Facilitymedian $3,388 · 10th to 90th $245 to $10,233Professionalmedian $245 · 10th to 90th $158 to $832

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $537.03 Median $3,548.13 Typical High $9,332.54	Facility	Global	$537.03	$3,548.13	$9,332.54
BCBS Setting Facility Modifier Global Typical Low $1,659.59 Median $4,897.79 Typical High $13,489.63	Facility	Global	$1,659.59	$4,897.79	$13,489.63
Cigna Setting Facility Modifier Global Typical Low $281.84 Median $741.31 Typical High $3,388.44	Facility	Global	$281.84	$741.31	$3,388.44
United Setting Facility Modifier Global Typical Low $645.65 Median $2,884.03 Typical High $7,244.36	Facility	Global	$645.65	$2,884.03	$7,244.36

What it costs in each state

The same service costs 13.3 times more in Wisconsin than in Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility fee

WI $6,828VA $514

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.