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Upper GI Endoscopy With Esophageal Balloon Dilation

Oregon 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?

$2,058

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

Insurers have agreed to pay about $2,058 for this procedure. That total is two separate charges: $398 to the doctor who performs it, and $1,660 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$398$240 to $1,820
Facility feeThe hospital or surgery center$1,660$324 to $2,399

How much rates vary

Facilitymedian $1,660 · 10th to 90th $195 to $5,370Professionalmedian $398 · 10th to 90th $155 to $2,630
$50$100$200$500$1K$2K$5Kfacility $1,660professional $398

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
$380.19
Median
$3,715.35
Typical High
$7,943.28
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$169.82
Median
$190.55
Typical High
$1,380.38
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$67.61
Median
$77.62
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$371.54
Typical High
$2,454.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$426.58
Typical High
$2,754.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$977.24
Typical High
$2,818.38
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$363.08
Typical High
$2,041.74
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$371.54
Typical High
$2,570.40
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$1,995.26
Typical High
$2,089.30
Providence
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$346.74
Typical High
$2,137.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$398.11
Typical High
$2,691.53
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$6,165.95
Typical High
$7,585.78
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$489.78
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$5,128.61
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$436.52
Typical High
$2,754.23

Where Oregon 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

Oregon· 35th of 51

$2,058

$398 physician + $1,660 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.