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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.

Facilitymedian $372 · 10th–90th $145$5,2480%5%10%10th90th$372Professionalmedian $457 · 10th–90th $182$7240%10%10th90th$457$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. Need provider-level prices? Contact us.

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