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Esophagus Stretching Over a Guide Wire

Delaware rates for HCPCS 43226

A flexible scope is passed through the mouth into the food pipe, a guide wire is threaded through the narrowed section, and tapered dilators are passed over that wire to stretch the narrowing open. The wire keeps the dilators on a safe path through the tight segment. It relieves food sticking and difficulty swallowing.

Rates data updated October 2026.

How much does Esophagus Stretching Over a Guide Wire cost?

$863

Typical total for the visit. In Delaware, October 2026.

Insurers have agreed to pay about $863 for this procedure. That total is two separate charges: $155 to the doctor who performs it, and $708 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$155$129 to $363
Facility feeThe hospital or surgery center$708$550 to $1,380

How much rates vary

Facilitymedian $708 · 10th to 90th $407 to $2,399Professionalmedian $155 · 10th to 90th $120 to $407
$100$200$500$1K$2K$5Kfacility $708professional $155

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$128.82
Median
$407.38
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$263.03
Typical High
$436.52
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$64.57
Median
$83.18
Typical High
$213.80
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$25.70
Median
$33.11
Typical High
$85.11
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$95.50
Median
$125.89
Typical High
$323.59
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$19.50
Median
$25.12
Typical High
$64.57
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$12.88
Median
$16.60
Typical High
$42.66
Cigna
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$1,122.02
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$134.90
Typical High
$398.11
United
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$616.60
Typical High
$2,398.83
United
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$158.49
Typical High
$363.08

Where Delaware sits

The same service costs 5.7 times more in Colorado than in Montana. 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.

Physician feeFacility fee

Delaware· 49th of 51

$863

$155 physician + $708 facility

CO $4,090MT $722

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.