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Upper GI Endoscopy With Esophageal Balloon Dilation

Washington, DC 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?

$776

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $776 for this service. Most negotiated rates run $174 to $1,230.

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.

How much rates vary

Facilitymedian $2,512 · 10th to 90th $389 to $4,571Professionalmedian $229 · 10th to 90th $148 to $1,349
$200$500$1K$2K$5K$10Kfacility $2,512professional $229

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
$389.05
Median
$2,137.96
Typical High
$4,570.88
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$87.10
Median
$87.10
Typical High
$676.08
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$34.67
Median
$34.67
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$190.55
Typical High
$1,348.96
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$165.96
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$416.87
Typical High
$2,951.21
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$1,380.38
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$3,890.45
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$316.23
Typical High
$2,089.30

Where Washington, DC sits

The same service costs 4.1 times more in Hawaii than in Michigan. 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.

Washington, DC· 14th of 51

$776

HI $1,096MI $269

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.