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Upper GI Endoscopy With Esophageal Balloon Dilation

New Mexico 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?

$1,551

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

Insurers have agreed to pay about $1,551 for this procedure. That total is two separate charges: $263 to the doctor who performs it, and $1,288 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$263$174 to $1,202
Facility feeThe hospital or surgery center$1,288$251 to $2,512

How much rates vary

Facilitymedian $1,288 · 10th to 90th $186 to $4,266Professionalmedian $263 · 10th to 90th $148 to $1,380
$50$100$200$500$1K$2K$5Kfacility $1,288professional $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
$223.87
Median
$1,819.70
Typical High
$4,365.16
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$107.15
Median
$112.20
Typical High
$891.25
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$42.66
Median
$44.67
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$281.84
Typical High
$1,380.38
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$134.90
Typical High
$1,122.02
BCBS
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$2,951.21
Typical High
$4,897.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$213.80
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$281.84
Typical High
$1,737.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,445.44
Providence
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$309.03
Typical High
$1,778.28
Providence
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$331.13
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$3,630.78
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$288.40
Typical High
$1,905.46

Where New Mexico 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 Mexico· 43rd of 51

$1,551

$263 physician + $1,288 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.