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Upper GI Endoscopy With Esophageal Balloon Dilation

Georgia 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?

$3,291

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

Insurers have agreed to pay about $3,291 for this procedure. That total is two separate charges: $407 to the doctor who performs it, and $2,884 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$407$182 to $1,202
Facility feeThe hospital or surgery center$2,884$1,230 to $4,677

How much rates vary

Facilitymedian $2,884 · 10th to 90th $708 to $7,762Professionalmedian $407 · 10th to 90th $151 to $1,995
$100$200$500$1K$2K$5K$10Kfacility $2,884professional $407

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
$812.83
Median
$3,388.44
Typical High
$8,317.64
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$75.86
Median
$151.36
Typical High
$588.84
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$30.20
Median
$61.66
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$426.58
Typical High
$1,995.26
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$165.96
Typical High
$269.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$2,137.96
Typical High
$5,248.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$323.59
Typical High
$2,041.74
CareSource
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$181.97
Typical High
$204.17
CareSource
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,230.27
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$870.96
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$338.84
Typical High
$1,995.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$575.44
Typical High
$1,819.70
Kaiser Permanente
Setting
Professional
Modifier
22 · Increased work
Typical Low
$416.87
Median
$537.03
Typical High
$3,548.13
Kaiser Permanente
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$123.03
Median
$154.88
Typical High
$1,047.13
Kaiser Permanente
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$123.03
Median
$154.88
Typical High
$1,348.96
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$338.84
Typical High
$2,344.23
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$2,290.87
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$316.23
Typical High
$1,862.09

Where Georgia 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

Georgia· 13th of 51

$3,291

$407 physician + $2,884 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.