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Upper GI Endoscopy With Esophageal Balloon Dilation

Kansas 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?

$2,600

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

Insurers have agreed to pay about $2,600 for this procedure. That total is two separate charges: $309 to the doctor who performs it, and $2,291 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$309$162 to $1,175
Facility feeThe hospital or surgery center$2,291$1,318 to $3,631

How much rates vary

Facilitymedian $2,291 · 10th to 90th $537 to $5,754Professionalmedian $309 · 10th to 90th $135 to $1,380
$50$200$1K$5Kfacility $2,291professional $309

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
$724.44
Median
$2,344.23
Typical High
$5,754.40
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$93.33
Median
$165.96
Typical High
$660.69
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$37.15
Median
$66.07
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$218.78
Typical High
$1,318.26
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$125.89
Typical High
$223.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$2,238.72
Typical High
$2,344.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,096.48
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$331.13
Typical High
$1,737.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$812.83
Typical High
$2,630.27
Medica
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$1,479.11
Typical High
$7,943.28
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$1,445.44
Typical High
$3,548.13
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$257.04
Typical High
$1,584.89

Where Kansas 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

Kansas· 23rd of 51

$2,600

$309 physician + $2,291 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.