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Upper GI Endoscopy With Esophageal Balloon Dilation

New Hampshire 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?

$2,195

Typical total for the visit. In New Hampshire, July 2026.

Insurers have agreed to pay about $2,195 for this procedure. That total is two separate charges: $417 to the doctor who performs it, and $1,778 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$417$224 to $1,622
Facility feeThe hospital or surgery center$1,778$191 to $4,677

How much rates vary

Facilitymedian $1,778 · 10th to 90th $148 to $7,244Professionalmedian $417 · 10th to 90th $166 to $2,754
$1$10$100$1K$10Kfacility $1,778professional $417

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
$100.00
Median
$1,905.46
Typical High
$7,244.36
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$338.84
Typical High
$1,905.46
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$190.55
Typical High
$1,122.02
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,737.80
Typical High
$3,019.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$467.74
Typical High
$2,951.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$407.38
Typical High
$2,511.89
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$3,890.45
Typical High
$8,709.64
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$933.25
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$3,890.45
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$549.54
Typical High
$2,818.38
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$147.91
Typical High
$1,380.38

Where New Hampshire 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

New Hampshire· 32nd of 51

$2,195

$417 physician + $1,778 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.