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Upper GI Endoscopy With Esophageal Balloon Dilation

Florida 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?

$3,190

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

Insurers have agreed to pay about $3,190 for this procedure. That total is two separate charges: $372 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$372$170 to $1,122
Facility feeThe hospital or surgery center$2,818$1,230 to $5,754

How much rates vary

Facilitymedian $2,818 · 10th to 90th $813 to $8,511Professionalmedian $372 · 10th to 90th $148 to $1,585
$50$200$1K$5Kfacility $2,818professional $372

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
$794.33
Median
$2,630.27
Typical High
$8,317.64
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$66.07
Median
$107.15
Typical High
$398.11
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$26.30
Median
$42.66
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$398.11
Typical High
$1,698.24
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$165.96
Typical High
$1,047.13
AvMed
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,995.26
Typical High
$10,471.29
AvMed
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$204.17
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$870.96
Typical High
$2,187.76
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Cigna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Cigna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$316.23
Typical High
$1,737.80
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$5,888.44
Typical High
$11,481.54
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$208.93
Typical High
$1,318.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$117.49
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$3,090.30
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$257.04
Typical High
$1,584.89
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$218.78
Typical High
$1,202.26

Where Florida 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

Florida· 14th of 51

$3,190

$372 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.