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Esophagus Stretching Over a Guide Wire

Michigan 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?

$1,159

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

Insurers have agreed to pay about $1,159 for this procedure. That total is two separate charges: $182 to the doctor who performs it, and $977 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$182$166 to $427
Facility feeThe hospital or surgery center$977$562 to $1,380

How much rates vary

Facilitymedian $977 · 10th to 90th $437 to $2,042Professionalmedian $182 · 10th to 90th $123 to $479
$50$100$200$500$1K$2K$5Kfacility $977professional $182

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$457.09
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$199.53
Typical High
$457.09
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$83.18
Median
$169.82
Typical High
$229.09
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$33.11
Median
$69.18
Typical High
$93.33
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$125.89
Median
$257.04
Typical High
$346.74
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$25.12
Median
$53.70
Typical High
$69.18
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$16.60
Median
$35.48
Typical High
$46.77
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$977.24
Median
$977.24
Typical High
$1,698.24
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$36.31
Median
$181.97
Typical High
$181.97
Cigna
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$263.03
Typical High
$645.65
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$537.03
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$190.55
Typical High
$478.63
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$83.18
Median
$97.72
Typical High
$239.88
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$33.11
Median
$38.90
Typical High
$95.50
Health Alliance Plan
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$123.03
Median
$144.54
Typical High
$363.08
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$24.55
Median
$29.51
Typical High
$72.44
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$16.60
Median
$19.50
Typical High
$47.86
Priority Health
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Priority Health
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$263.03
Typical High
$512.86
United
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$602.56
Typical High
$3,235.94
United
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$213.80
Typical High
$501.19

Where Michigan 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

Michigan· 43rd of 51

$1,159

$182 physician + $977 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.