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Upper GI Endoscopy With Esophageal Balloon Dilation

South Carolina 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?

$2,284

Typical total for the visit. In South Carolina, July 2026.

Insurers have agreed to pay about $2,284 for this procedure. That total is two separate charges: $288 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$288$174 to $1,096
Facility feeThe hospital or surgery center$1,995$562 to $3,802

How much rates vary

Facilitymedian $1,995 · 10th to 90th $182 to $6,761Professionalmedian $288 · 10th to 90th $145 to $1,349
$50$200$1K$5K$20Kfacility $1,995professional $288

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
$181.97
Median
$3,019.95
Typical High
$9,120.11
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$89.13
Median
$213.80
Typical High
$1,348.96
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$36.31
Median
$85.11
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$288.40
Typical High
$1,348.96
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$144.54
Typical High
$812.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,548.82
Typical High
$3,548.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$398.11
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$562.34
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$316.23
Typical High
$2,137.96
Medcost
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$275.42
Typical High
$281.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$302.00
Typical High
$1,819.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$5,888.44
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$263.03
Typical High
$1,348.96

Where South Carolina 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

South Carolina· 28th of 51

$2,284

$288 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.