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Upper GI Endoscopy With Esophageal Balloon Dilation

Connecticut 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?

$4,524

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

Insurers have agreed to pay about $4,524 for this procedure. That total is two separate charges: $355 to the doctor who performs it, and $4,169 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$355$170 to $1,148
Facility feeThe hospital or surgery center$4,169$2,630 to $5,888

How much rates vary

Facilitymedian $4,169 · 10th to 90th $912 to $7,943Professionalmedian $355 · 10th to 90th $148 to $1,778
$100$200$500$1K$2K$5K$10Kfacility $4,169professional $355

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
$891.25
Median
$4,265.80
Typical High
$7,943.28
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$144.54
Median
$144.54
Typical High
$1,174.90
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$57.54
Median
$57.54
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$346.74
Typical High
$1,513.56
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$4,168.69
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$338.84
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,737.80
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$389.05
Typical High
$2,570.40
ConnectiCare
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$977.24
Typical High
$1,023.29
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$1,380.38
Typical High
$2,398.83
Health New England
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$4,897.79
Health New England
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$309.03
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$5,248.07
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$977.24
Typical High
$2,089.30

Where Connecticut 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

Connecticut· 4th of 51

$4,524

$355 physician + $4,169 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.