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Esophagus Stretching Over a Guide Wire

North Carolina 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.

Facilitymedian $389 · 10th–90th $132$4,6770%5%10th90th$389Professionalmedian $229 · 10th–90th $229$2290%50%100%$229$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$3,890.45
Typical High
$5,495.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$851.14
Typical High
$1,412.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Medcost
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$239.88
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,995.26
Typical High
$6,309.57
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$19,498.45