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Upper GI Endoscopy With Esophageal Balloon Dilation

Montana 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?

$1,175

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

Insurers have agreed to pay about $1,175 for this procedure. That total is two separate charges: $263 to the doctor who performs it, and $912 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$263$166 to $933
Facility feeThe hospital or surgery center$912$263 to $1,905

How much rates vary

Facilitymedian $912 · 10th to 90th $229 to $3,467Professionalmedian $263 · 10th to 90th $145 to $1,995
$100$1K$10Kfacility $912professional $263

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
$512.86
Median
$2,630.27
Typical High
$4,677.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$239.88
Typical High
$2,089.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$794.33
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$457.09
Typical High
$2,238.72
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$323.59
Typical High
$1,905.46
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$323.59
Typical High
$1,905.46
Providence
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$323.59
Typical High
$2,041.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$389.05
Typical High
$2,691.53
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$309.03
Typical High
$1,949.84

Where Montana 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

Montana· 51st of 51

$1,175

$263 physician + $912 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.