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Upper GI Endoscopy With Esophageal Balloon Dilation

Arizona 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?

$2,584

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

Insurers have agreed to pay about $2,584 for this procedure. That total is two separate charges: $589 to the doctor who performs it, and $1,995 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$589$178 to $1,175
Facility feeThe hospital or surgery center$1,995$1,000 to $3,890

How much rates vary

Facilitymedian $1,995 · 10th to 90th $316 to $5,248Professionalmedian $589 · 10th to 90th $151 to $1,820
$200$500$1K$2K$5Kfacility $1,995professional $589

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
$630.96
Median
$2,570.40
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$676.08
Typical High
$1,778.28
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$131.83
Typical High
$1,023.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$2,187.76
Typical High
$4,265.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$977.24
Typical High
$2,041.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$977.24
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$288.40
Typical High
$1,778.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$436.52
Typical High
$1,995.26
Medica
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$549.54
Median
$549.54
Typical High
$3,715.35
Medica
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$138.04
Median
$138.04
Typical High
$933.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$1,230.27
Typical High
$7,943.28
United
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,659.59
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$239.88
Typical High
$1,584.89

Where Arizona 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

Arizona· 25th of 51

$2,584

$589 physician + $1,995 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.