go back

Upper GI Endoscopy With Esophageal Balloon Dilation

Oklahoma 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?

$2,271

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

Insurers have agreed to pay about $2,271 for this procedure. That total is two separate charges: $275 to the doctor who performs it, and $1,995 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$275$166 to $1,175
Facility feeThe hospital or surgery center$1,995$1,175 to $4,169

How much rates vary

Facilitymedian $1,995 · 10th to 90th $331 to $5,888Professionalmedian $275 · 10th to 90th $148 to $1,479
$100$200$500$1K$2K$5K$10Kfacility $1,995professional $275

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
$588.84
Median
$1,445.44
Typical High
$5,248.07
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$81.28
Median
$81.28
Typical High
$588.84
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$33.11
Median
$33.11
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$234.42
Typical High
$1,318.26
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$154.88
Typical High
$1,122.02
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$4,265.80
Typical High
$7,079.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$1,071.52
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$257.04
Typical High
$1,479.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$933.25
Typical High
$2,951.21
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
$194.98
Median
$1,148.15
Typical High
$7,943.28
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$1,995.26
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$239.88
Typical High
$1,348.96

Where Oklahoma 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

Oklahoma· 29th of 51

$2,271

$275 physician + $1,995 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.