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Upper GI Endoscopy With Esophageal Balloon Dilation

Tennessee 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?

$2,086

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

Insurers have agreed to pay about $2,086 for this procedure. That total is two separate charges: $427 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$427$186 to $1,175
Facility feeThe hospital or surgery center$1,660$832 to $2,692

How much rates vary

Facilitymedian $1,660 · 10th to 90th $537 to $3,981Professionalmedian $427 · 10th to 90th $151 to $1,622
$100$500$2K$10Kfacility $1,660professional $427

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
$537.03
Median
$1,288.25
Typical High
$3,890.45
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$91.20
Median
$208.93
Typical High
$1,230.27
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$36.31
Median
$83.18
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$436.52
Typical High
$1,548.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$154.88
Typical High
$239.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,818.38
Typical High
$3,801.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$363.08
Typical High
$2,089.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$1,047.13
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$323.59
Typical High
$1,862.09
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$28,840.32
Lucent Health
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Lucent Health
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$7,413.10
Median
$8,709.64
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$2,137.96
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$295.12
Typical High
$1,698.24

Where Tennessee 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

Tennessee· 33rd of 51

$2,086

$427 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.