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Esophagus Stretching Over a Guide Wire

Massachusetts 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?

$1,288

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $1,288 for this service. Most negotiated rates run $191 to $2,692.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,288 · 10th to 90th $151 to $4,169
$100$200$500$1K$2K$5K$10Kfacility $1,288

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
$398.11
Median
$2,238.72
Typical High
$3,715.35
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$3,090.30
Typical High
$19,498.45
BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$501.19
Typical High
$1,995.26
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$169.82
Typical High
$3,311.31
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$3,162.28
Typical High
$8,511.38
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$3,090.30
Typical High
$19,498.45
United
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$2,951.21
Typical High
$7,585.78

Where Massachusetts sits

The same service costs 24.0 times more in Delaware 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.

Massachusetts· 27th of 50

$1,288

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.