go back

Upper GI Endoscopy With Esophageal Balloon Dilation

North Dakota 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?

$3,331

Typical total for the visit. In North Dakota, July 2026.

Insurers have agreed to pay about $3,331 for this procedure. That total is two separate charges: $380 to the doctor who performs it, and $2,951 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$380$162 to $1,862
Facility feeThe hospital or surgery center$2,951$1,122 to $3,715

How much rates vary

Facilitymedian $2,951 · 10th to 90th $155 to $5,248Professionalmedian $380 · 10th to 90th $138 to $2,630
$50$100$200$500$1K$2K$5Kfacility $2,951professional $380

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
$154.88
Median
$3,162.28
Typical High
$5,248.07
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$70.79
Median
$77.62
Typical High
$562.34
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$28.18
Median
$30.90
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$234.42
Typical High
$3,019.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$426.58
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$501.19
Typical High
$2,630.27
Medica
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$1,122.02
Typical High
$2,137.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$1,230.27
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$2,398.83
Typical High
$3,801.89
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$371.54
Typical High
$2,187.76

Where North Dakota 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

North Dakota· 11th of 51

$3,331

$380 physician + $2,951 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.