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Upper GI Endoscopy With Esophageal Balloon Dilation

Maryland 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?

$1,308

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

Insurers have agreed to pay about $1,308 for this procedure. That total is two separate charges: $331 to the doctor who performs it, and $977 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$331$166 to $1,096
Facility feeThe hospital or surgery center$977$692 to $1,622

How much rates vary

Facilitymedian $977 · 10th to 90th $170 to $1,778Professionalmedian $331 · 10th to 90th $148 to $1,479
$1$10$100$1Kfacility $977professional $331

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
$169.82
Median
$977.24
Typical High
$1,949.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$407.38
Typical High
$1,380.38
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$162.18
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$912.01
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$295.12
Typical High
$1,778.28
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$1,380.38
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$575.44
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$281.84
Typical High
$1,905.46
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$1,258.93
Typical High
$1,819.70

Where Maryland 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

Maryland· 48th of 51

$1,308

$331 physician + $977 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.