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Upper GI Endoscopy With Esophageal Balloon Dilation

Idaho 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?

$2,594

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

Insurers have agreed to pay about $2,594 for this procedure. That total is two separate charges: $355 to the doctor who performs it, and $2,239 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$355$191 to $1,202
Facility feeThe hospital or surgery center$2,239$537 to $4,467

How much rates vary

Facilitymedian $2,239 · 10th to 90th $234 to $5,248Professionalmedian $355 · 10th to 90th $155 to $1,995
$100$200$500$1K$2K$5Kfacility $2,239professional $355

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
$676.08
Median
$4,168.69
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$354.81
Typical High
$1,862.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,819.70
Typical High
$4,466.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$1,412.54
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$323.59
Typical High
$1,905.46
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$346.74
Typical High
$2,344.23
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$331.13
Typical High
$2,344.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,096.48
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$3,890.45
Typical High
$6,165.95
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$354.81
Typical High
$2,187.76
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,737.80
Typical High
$3,090.30
Select Health
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$288.40
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$6,165.95
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$302.00
Typical High
$1,819.70

Where Idaho 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

Idaho· 24th of 51

$2,594

$355 physician + $2,239 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.