go back

Upper GI Endoscopy With Esophageal Balloon Dilation

Louisiana 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?

$1,824

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

Insurers have agreed to pay about $1,824 for this procedure. That total is two separate charges: $275 to the doctor who performs it, and $1,549 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$182 to $1,202
Facility feeThe hospital or surgery center$1,549$891 to $2,692

How much rates vary

Facilitymedian $1,549 · 10th to 90th $417 to $3,715Professionalmedian $275 · 10th to 90th $148 to $1,514
$50$100$200$500$1K$2K$5Kfacility $1,549professional $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
$288.40
Median
$1,513.56
Typical High
$3,715.35
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$107.15
Median
$123.03
Typical High
$707.95
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$42.66
Median
$48.98
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$263.03
Typical High
$1,513.56
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$204.17
Typical High
$1,412.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,995.26
Typical High
$3,548.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$338.84
Typical High
$1,621.81
Christus
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$1,548.82
Typical High
$1,548.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$724.44
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$380.19
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,698.24
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$302.00
Typical High
$1,479.11

Where Louisiana 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

Louisiana· 42nd of 51

$1,824

$275 physician + $1,549 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.