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Upper GI Endoscopy With Esophageal Balloon Dilation

Michigan 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?

$1,512

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

Insurers have agreed to pay about $1,512 for this procedure. That total is two separate charges: $224 to the doctor who performs it, and $1,288 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$224$162 to $1,096
Facility feeThe hospital or surgery center$1,288$724 to $2,692

How much rates vary

Facilitymedian $1,288 · 10th to 90th $204 to $4,074Professionalmedian $224 · 10th to 90th $145 to $1,349
$1$10$100$1Kfacility $1,288professional $224

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
$204.17
Median
$1,288.25
Typical High
$3,981.07
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$97.72
Median
$97.72
Typical High
$660.69
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$38.90
Median
$38.90
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$229.09
Typical High
$1,318.26
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$158.49
Typical High
$1,023.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$208.93
Typical High
$251.19
CareSource
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$181.97
Typical High
$199.53
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,230.27
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$457.09
Typical High
$1,778.28
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$1,148.15
Typical High
$4,073.80
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$354.81
Typical High
$1,737.80
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$1,023.29
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$2,951.21
Typical High
$6,165.95
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$269.15
Typical High
$1,548.82

Where Michigan 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

Michigan· 44th of 51

$1,512

$224 physician + $1,288 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.