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Esophagus Stretching Over a Guide Wire

Washington 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?

$692

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $692 for this service. Most negotiated rates run $288 to $1,862.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $692 · 10th to 90th $191 to $6,607
$200$500$1K$2K$5K$10K$20Kfacility $692

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
$257.04
Median
$1,000.00
Typical High
$12,302.69
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$5,888.44
Typical High
$10,471.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$562.34
Typical High
$2,454.71
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$416.87
Typical High
$1,905.46
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$676.08
Typical High
$741.31
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$537.03
Typical High
$1,230.27
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$5,754.40
Typical High
$10,232.93
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$5,623.41
Typical High
$10,715.19

Where Washington 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.

Washington· 35th of 50

$692

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.