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Upper GI Endoscopy With Esophageal Balloon Dilation

Nebraska 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?

$2,826

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

Insurers have agreed to pay about $2,826 for this procedure. That total is two separate charges: $372 to the doctor who performs it, and $2,455 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$372$186 to $1,175
Facility feeThe hospital or surgery center$2,455$1,175 to $4,467

How much rates vary

Facilitymedian $2,455 · 10th to 90th $302 to $8,511Professionalmedian $372 · 10th to 90th $141 to $2,344
$50$200$1K$5K$20Kfacility $2,455professional $372

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
$562.34
Median
$3,467.37
Typical High
$8,511.38
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$70.79
Median
$70.79
Typical High
$501.19
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$28.18
Median
$28.18
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$338.84
Typical High
$1,905.46
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$218.78
Typical High
$602.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,890.45
Typical High
$7,943.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,584.89
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$1,000.00
Typical High
$3,019.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$912.01
Typical High
$2,344.23
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
$213.80
Median
$1,995.26
Typical High
$7,943.28
Midlands
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$2,238.72
Typical High
$3,019.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$1,778.28
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$2,630.27
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$389.05
Typical High
$2,630.27

Where Nebraska 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

Nebraska· 18th of 51

$2,826

$372 physician + $2,455 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.