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Upper GI Endoscopy With Esophageal Balloon Dilation

Arkansas rates for HCPCS 43249

A thin flexible scope is passed through the mouth to examine the esophagus, stomach, and the beginning of the small intestine, and a balloon is then passed through the scope and inflated to stretch open a narrowed part of the esophagus. It is done to relieve difficulty swallowing caused by the narrowing. This version uses a balloon under a set diameter; stretching with a large-diameter balloon is a different service.

Rates data updated July 2026.

How much does Upper GI Endoscopy With Esophageal Balloon Dilation cost?

$1,415

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

Insurers have agreed to pay about $1,415 for this procedure. That total is two separate charges: $240 to the doctor who performs it, and $1,175 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$240$162 to $1,148
Facility feeThe hospital or surgery center$1,175$617 to $1,778

How much rates vary

Facilitymedian $1,175 · 10th to 90th $275 to $2,455Professionalmedian $240 · 10th to 90th $145 to $1,318
$200$500$1K$2K$5Kfacility $1,175professional $240

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
$223.87
Median
$1,071.52
Typical High
$2,041.74
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$95.50
Median
$112.20
Typical High
$575.44
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$38.02
Median
$44.67
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$234.42
Typical High
$1,258.93
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$204.17
Typical High
$269.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$2,454.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$213.80
Typical High
$1,479.11
CareSource
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$181.97
Typical High
$204.17
CareSource
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,148.15
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$512.86
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$288.40
Typical High
$1,737.80
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$269.15
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,479.11
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$281.84
Typical High
$1,621.81

Where Arkansas sits

The same service costs 4.6 times more in California 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

Arkansas· 46th of 51

$1,415

$240 physician + $1,175 facility

CA $5,438MT $1,175

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.