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Upper GI Endoscopy With Esophageal Balloon Dilation

Nevada 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?

$2,358

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

Insurers have agreed to pay about $2,358 for this procedure. That total is two separate charges: $269 to the doctor who performs it, and $2,089 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$269$166 to $1,096
Facility feeThe hospital or surgery center$2,089$1,000 to $3,020

How much rates vary

Facilitymedian $2,089 · 10th to 90th $724 to $4,786Professionalmedian $269 · 10th to 90th $148 to $1,380
$50$200$1K$5Kfacility $2,089professional $269

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
$616.60
Median
$2,041.74
Typical High
$4,365.16
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$79.43
Median
$79.43
Typical High
$588.84
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$31.62
Median
$31.62
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$281.84
Typical High
$1,318.26
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$123.03
Typical High
$154.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$4,073.80
Typical High
$5,888.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$426.58
Typical High
$1,905.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$263.03
Typical High
$1,621.81
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$181.97
Typical High
$1,584.89
Hometown Health
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$1,778.28
Select Health
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$1,071.52
Typical High
$1,174.90
Select Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$128.82
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,737.80
Typical High
$3,630.78
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$275.42
Typical High
$1,698.24

Where Nevada 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

Nevada· 27th of 51

$2,358

$269 physician + $2,089 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.