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Upper GI Endoscopy With Esophageal Balloon Dilation

Massachusetts 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?

$1,956

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

Insurers have agreed to pay about $1,956 for this procedure. That total is two separate charges: $407 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$407$191 to $1,380
Facility feeThe hospital or surgery center$1,549$372 to $3,090

How much rates vary

Facilitymedian $1,549 · 10th to 90th $174 to $4,169Professionalmedian $407 · 10th to 90th $151 to $2,344
$100$200$500$1K$2K$5K$10Kfacility $1,549professional $407

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
$407.38
Median
$2,238.72
Typical High
$4,073.80
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$81.28
Median
$588.84
Typical High
$588.84
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$32.36
Median
$102.33
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$380.19
Typical High
$1,318.26
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$3,090.30
Typical High
$28,840.32
AllWays Health Partners
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
AllWays Health Partners
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$870.96
Typical High
$7,413.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$407.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$407.38
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$645.65
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$389.05
Typical High
$2,511.89
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$199.53
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,659.59
Typical High
$2,398.83
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$3,162.28
Typical High
$8,511.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$891.25
Typical High
$2,884.03
Health New England
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$2,041.74
Typical High
$4,570.88
Health New England
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$323.59
Typical High
$537.03
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$3,090.30
Typical High
$28,840.32
Mass General Brigham
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Mass General Brigham
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$870.96
Typical High
$7,413.10
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$2,951.21
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$446.68
Typical High
$3,019.95

Where Massachusetts 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

Massachusetts· 36th of 51

$1,956

$407 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.