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Upper GI Endoscopy With Esophageal Balloon Dilation

Indiana 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?

$3,906

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

Insurers have agreed to pay about $3,906 for this procedure. That total is two separate charges: $275 to the doctor who performs it, and $3,631 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$275$162 to $1,072
Facility feeThe hospital or surgery center$3,631$1,380 to $5,888

How much rates vary

Facilitymedian $3,631 · 10th to 90th $603 to $8,913Professionalmedian $275 · 10th to 90th $145 to $1,380
$100$200$500$1K$2K$5K$10Kfacility $3,631professional $275

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
$245.47
Median
$1,949.84
Typical High
$5,623.41
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$83.18
Median
$537.03
Typical High
$954.99
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$33.11
Median
$213.80
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$257.04
Typical High
$1,348.96
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$154.88
Typical High
$1,122.02
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$8,128.31
Typical High
$10,471.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$371.54
Typical High
$1,445.44
CareSource
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$177.83
Typical High
$194.98
CareSource
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,148.15
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$1,148.15
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
$169.82
Median
$309.03
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$3,467.37
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$251.19
Typical High
$1,412.54

Where Indiana 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

Indiana· 8th of 51

$3,906

$275 physician + $3,631 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.