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Esophagus Scope With Destruction of Abnormal Tissue

Illinois rates for HCPCS 43229

A flexible scope is passed through the mouth into the esophagus, the tube that carries food to the stomach. Abnormal tissue such as a growth or a patch of altered lining is destroyed in place using heat or another energy source delivered through the scope. Stretching a narrowed section may also be done during the same visit when needed.

Rates data updated July 2026.

How much does Esophagus Scope With Destruction of Abnormal Tissue cost?

$1,479

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $1,479 for this service. Most negotiated rates run $871 to $2,630.

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 $1,778 · 10th to 90th $380 to $5,623Professionalmedian $1,072 · 10th to 90th $263 to $1,698
$200$500$1K$2K$5K$10Kfacility $1,778professional $1,072

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
$380.19
Median
$1,584.89
Typical High
$5,623.41
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$5,011.87
Typical High
$6,606.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$2,511.89
Typical High
$5,370.32
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$1,071.52
Typical High
$1,698.24
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$3,388.44
Typical High
$7,585.78

Where Illinois sits

The same service costs 13.5 times more in Indiana than in Maine. 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.

Illinois· 32nd of 50

$1,479

IN $9,333ME $692

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.