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Stretching the Gullet With a Large Balloon

Washington, DC rates for HCPCS 43214

Passes a flexible camera on a thin tube through the mouth into the gullet, the tube that carries food to the stomach, and inflates a large balloon to stretch open a tight segment. It is used when swallowing is difficult because the muscle at the lower end will not relax or the passage has tightened.

Rates data updated July 2026.

How much does Stretching the Gullet With a Large Balloon cost?

$4,074

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

Insurers have agreed to pay about $4,074 for this service. Most negotiated rates run $1,698 to $4,571.

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.

How much rates vary

Facilitymedian $4,074 · 10th to 90th $224 to $7,762Professionalmedian $182 · 10th to 90th $174 to $389
$200$500$1K$2K$5K$10K$20Kfacility $4,074professional $182

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$4,073.80
Typical High
$7,762.47
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$181.97
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$6,606.93
Typical High
$26,302.68

Where Washington, DC sits

The same service costs 36.3 times more in Indiana than in West Virginia. 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· 7th of 50

$4,074

IN $6,918WV $191

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.