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Esophagus Stretching Over a Guide Wire

Pennsylvania 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?

$2,344

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $2,344 for this service. Most negotiated rates run $977 to $4,169.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,344 · 10th to 90th $398 to $7,244
$200$500$1K$2K$5Kfacility $2,344

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
$2,344.23
Typical High
$7,762.47
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,691.53
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$1,230.27
Typical High
$2,454.71
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,288.25
Typical High
$1,584.89
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,981.07
Typical High
$10,715.19
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$2,089.30
Typical High
$7,244.36
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$1,148.15
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$2,570.40
Typical High
$6,025.60

Where Pennsylvania 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.

Pennsylvania· 14th of 50

$2,344

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.