go back

Esophagus Stretching Over a Guide Wire

Virginia 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?

$372

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $372 for this service. Most negotiated rates run $170 to $1,950.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $372 · 10th to 90th $145 to $5,248Professionalmedian $457 · 10th to 90th $182 to $724
$100$200$500$1K$2K$5K$10Kfacility $372professional $457

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
$147.91
Median
$2,041.74
Typical High
$7,079.46
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$794.33
Typical High
$977.24
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$489.78
Typical High
$831.76
Medcost
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$199.53
Typical High
$549.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$251.19
Typical High
$630.96
Sentara
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$169.82
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$2,884.03
Typical High
$5,754.40

Where Virginia 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.

Virginia· 46th of 50

$372

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.