go back

Upper GI Endoscopy With Esophageal Balloon Dilation

Delaware 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?

$1,404

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

Insurers have agreed to pay about $1,404 for this procedure. That total is two separate charges: $229 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$229$158 to $1,175
Facility feeThe hospital or surgery center$1,175$398 to $2,455

How much rates vary

Facilitymedian $1,175 · 10th to 90th $151 to $5,248Professionalmedian $229 · 10th to 90th $151 to $1,349
$100$200$500$1K$2K$5Kfacility $1,175professional $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
$151.36
Median
$1,174.90
Typical High
$5,248.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$229.09
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$281.84
Typical High
$1,819.70
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$5,248.07
Typical High
$9,120.11
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$263.03
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$158.49
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$223.87
Typical High
$1,412.54

Where Delaware 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

Delaware· 47th of 51

$1,404

$229 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.