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Stretching the Gullet With a Large Balloon

Hawaii 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.

Facilitymedian $3,890 · 10th–90th $1,514$3,8900%50%10th$3,890Professionalmedian $200 · 10th–90th $166$2750%20%10th90th$200$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$3,890.45
Typical High
$3,890.45
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$199.53
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80