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Upper GI Endoscopy With Esophageal Balloon Dilation

Hawaii 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?

$4,987

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

Insurers have agreed to pay about $4,987 for this procedure. That total is two separate charges: $1,096 to the doctor who performs it, and $3,890 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,096$182 to $1,778
Facility feeThe hospital or surgery center$3,890$1,514 to $3,890

How much rates vary

Facilitymedian $3,890 · 10th to 90th $1,096 to $3,890Professionalmedian $1,096 · 10th to 90th $151 to $4,365
$200$500$1K$2K$5Kfacility $3,890professional $1,096

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
$1,148.15
Median
$3,890.45
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$288.40
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$707.95
Typical High
$2,398.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$1,318.26
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$257.04
Typical High
$1,445.44
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$2,089.30
Typical High
$5,370.32

Where Hawaii 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

Hawaii· 2nd of 51

$4,987

$1,096 physician + $3,890 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.