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Upper GI Endoscopy With Esophageal Balloon Dilation

Colorado 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?

$3,297

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

Insurers have agreed to pay about $3,297 for this procedure. That total is two separate charges: $479 to the doctor who performs it, and $2,818 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$479$182 to $1,175
Facility feeThe hospital or surgery center$2,818$794 to $5,370

How much rates vary

Facilitymedian $2,818 · 10th to 90th $219 to $7,586Professionalmedian $479 · 10th to 90th $151 to $1,738
$200$500$1K$2K$5K$10Kfacility $2,818professional $479

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
$371.54
Median
$2,818.38
Typical High
$6,456.54
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$75.86
Median
$75.86
Typical High
$537.03
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$30.90
Median
$30.90
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$501.19
Typical High
$1,548.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$6,760.83
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$416.87
Typical High
$1,949.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,096.48
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$302.00
Typical High
$1,949.84
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$295.12
Typical High
$1,819.70
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$575.44
Typical High
$1,778.28
Select Health
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$275.42
Typical High
$2,630.27
Select Health
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$177.83
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,398.83
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$309.03
Typical High
$1,949.84

Where Colorado 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

Colorado· 12th of 51

$3,297

$479 physician + $2,818 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.