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Upper GI Endoscopy With Esophageal Balloon Dilation

Rhode Island 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?

$2,639

Typical total for the visit. In Rhode Island, July 2026.

Insurers have agreed to pay about $2,639 for this procedure. That total is two separate charges: $295 to the doctor who performs it, and $2,344 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$295$209 to $1,380
Facility feeThe hospital or surgery center$2,344$1,000 to $3,802

How much rates vary

Facilitymedian $2,344 · 10th to 90th $490 to $4,266Professionalmedian $295 · 10th to 90th $162 to $2,399
$200$500$1K$2K$5Kfacility $2,344professional $295

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
$446.68
Median
$2,089.30
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$288.40
Typical High
$2,398.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$977.24
Typical High
$2,041.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,621.81
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$354.81
Typical High
$2,344.23
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$3,467.37
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$309.03
Typical High
$1,778.28

Where Rhode Island 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

Rhode Island· 20th of 51

$2,639

$295 physician + $2,344 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.