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Upper GI Endoscopy With Esophageal Balloon Dilation

Maine 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?

$2,969

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

Insurers have agreed to pay about $2,969 for this procedure. That total is two separate charges: $398 to the doctor who performs it, and $2,570 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$398$186 to $1,479
Facility feeThe hospital or surgery center$2,570$1,000 to $3,467

How much rates vary

Facilitymedian $2,570 · 10th to 90th $170 to $5,248Professionalmedian $398 · 10th to 90th $166 to $2,630
$1$10$100$1K$10K$100Kfacility $2,570professional $398

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
$2,570.40
Typical High
$5,248.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$234.42
Typical High
$1,348.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$478.63
Typical High
$2,398.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$371.54
Typical High
$2,344.23
Community Health Options
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$954.99
Typical High
$3,019.95
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$2,818.38
Typical High
$5,248.07
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$331.13
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$831.76
Typical High
$2,344.23

Where Maine 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

Maine· 16th of 51

$2,969

$398 physician + $2,570 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.