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Stretching the Gullet With a Large Balloon

South Dakota 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 $407 · 10th–90th $186$4,3650%5%10%10th90th$407Professionalmedian $331 · 10th–90th $240$4170%10%20%10th90th$331$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$3,090.30
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$295.12
Typical High
$575.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$446.68
Typical High
$446.68
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$323.59
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$3,890.45