go back

New Jersey rates for HCPCS 43249

Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)

Facilitymedian $4,169 · 10th–90th $1,202$7,9430%5%10%10th90th$4,169Professionalmedian $316 · 10th–90th $138$1,8620%5%10%10th90th$316$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $4,168.69 / $7,943.28
Aetna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $295.12 / $1,819.70
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $141.25 / $190.55
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $3,235.94 / $10,964.78
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $147.91 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $2,754.23 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $363.08 / $2,187.76
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $1,230.27 / $2,238.72
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $6,165.95 / $9,549.93
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $1,023.29 / $2,238.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $5,011.87 / $8,317.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $269.15 / $1,819.70