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Esophagus Stretching Over a Guide Wire

South Dakota 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?

$417

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $417 for this service. Most negotiated rates run $240 to $646.

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 $363 · 10th to 90th $138 to $2,291Professionalmedian $417 · 10th to 90th $178 to $741
$100$200$500$1K$2Kfacility $363professional $417

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
$128.82
Median
$2,290.87
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$338.84
Typical High
$912.01
Midlands
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$316.23
Typical High
$776.25
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$416.87
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$3,890.45

Where South Dakota 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 Dakota· 44th of 50

$417

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.