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Esophagus Stretching Over a Guide Wire

South 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.

How much does Esophagus Stretching Over a Guide Wire cost?

$479

Typical facility fee. In South Carolina, July 2026.

Insurers have agreed to pay about $479 for this service. Most negotiated rates run $204 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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $490 · 10th to 90th $151 to $8,511Professionalmedian $200 · 10th to 90th $186 to $229
$200$500$1K$2K$5K$10K$20Kfacility $490professional $200

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$5,623.41
Typical High
$21,877.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,584.89
Typical High
$3,715.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$436.52
Typical High
$1,148.15
Medcost
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$199.53
Typical High
$229.09
Medcost
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$245.47
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$5,888.44
Typical High
$9,772.37

Where South Carolina 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.

South Carolina· 39th of 50

$479

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.