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Esophagus Stretching Over a Guide Wire

Illinois 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 July 2026.

How much does Esophagus Stretching Over a Guide Wire cost?

$977

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $977 for this service. Most negotiated rates run $468 to $2,188.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,380 · 10th to 90th $251 to $5,129Professionalmedian $537 · 10th to 90th $178 to $1,072
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $1,380professional $537

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$1,258.93
Typical High
$5,370.32
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,454.71
Typical High
$3,311.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$1,698.24
Typical High
$2,754.23
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$537.03
Typical High
$1,071.52
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$2,089.30
Typical High
$4,677.35

Where Illinois sits

The same service costs 24.0 times more in Delaware than in Montana. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $977 · 31st of 50
DE $6,457MT $269

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.