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Upper Endoscopy With Esophageal Dilation

Hawaii rates for HCPCS 43248

During this upper endoscopy, a flexible scope is passed through the mouth into the esophagus, stomach, and the first part of the small intestine, and a guide wire is used to direct a dilating instrument to stretch a narrowed section of the esophagus. Widening the narrowed area helps relieve difficulty swallowing caused by strictures, scar tissue, or other narrowing. It combines the diagnostic view of an upper endoscopy with a therapeutic stretching procedure in the same visit.

Rates data updated July 2026.

How much does Upper Endoscopy With Esophageal Dilation cost?

$4,307

Typical total for the visit. In Hawaii, July 2026.

Insurers have agreed to pay about $4,307 for this procedure. That total is two separate charges: $417 to the doctor who performs it, and $3,890 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$417$195 to $1,202
Facility feeThe hospital or surgery center$3,890$1,514 to $3,890

How much rates vary

Facilitymedian $3,890 · 10th to 90th $1,096 to $3,890Professionalmedian $417 · 10th to 90th $162 to $4,365
$200$500$1K$2K$5Kfacility $3,890professional $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
$1,148.15
Median
$3,890.45
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$251.19
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$416.87
Typical High
$912.01
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$501.19
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$281.84
Typical High
$549.54
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$2,089.30
Typical High
$5,370.32

Where Hawaii sits

The same service costs 8.1 times more in New Jersey 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.

Physician feeFacility fee

Hawaii· 3rd of 50

$4,307

$417 physician + $3,890 facility

NJ $5,483MT $680

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.