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Upper GI Endoscopy With Esophageal Balloon Dilation

Missouri 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?

$1,831

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

Insurers have agreed to pay about $1,831 for this procedure. That total is two separate charges: $282 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$282$170 to $1,023
Facility feeThe hospital or surgery center$1,549$1,047 to $2,512

How much rates vary

Facilitymedian $1,549 · 10th to 90th $331 to $3,802Professionalmedian $282 · 10th to 90th $132 to $1,514
$50$200$1K$5Kfacility $1,549professional $282

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
$371.54
Median
$1,698.24
Typical High
$4,570.88
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$69.18
Median
$501.19
Typical High
$575.44
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$28.18
Median
$33.88
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$257.04
Typical High
$1,288.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$154.88
Typical High
$630.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,479.11
Typical High
$3,235.94
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$288.40
Typical High
$1,584.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$1,122.02
Typical High
$1,621.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$2,511.89
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$295.12
Typical High
$1,778.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$954.99
Typical High
$2,511.89
Medica
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Medica
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Medica
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$1,698.24
Typical High
$7,943.28
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,584.89
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$309.03
Typical High
$1,778.28

Where Missouri 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

Missouri· 41st of 51

$1,831

$282 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.