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Stretching the Gullet With a Large Balloon

Wisconsin 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 $4,169 · 10th–90th $263$6,9180%10%10th90th$4,169Professionalmedian $398 · 10th–90th $219$6170%10%20%10th90th$398$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$208.93
Median
$389.05
Typical High
$14,454.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,677.35
Typical High
$7,079.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$575.44
Typical High
$912.01
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$263.03
Typical High
$3,388.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$295.12
Typical High
$5,248.07
Network Health
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$4,265.80
Typical High
$4,570.88
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$223.87
Typical High
$380.19
Quartz
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$398.11
Typical High
$616.60
Quartz
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$3,467.37
Typical High
$5,011.87
Security Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$3,630.78
Typical High
$6,025.60