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Upper GI Endoscopy With Esophageal Balloon Dilation

Utah 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?

$3,391

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

Insurers have agreed to pay about $3,391 for this procedure. That total is two separate charges: $372 to the doctor who performs it, and $3,020 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$372$155 to $1,230
Facility feeThe hospital or surgery center$3,020$1,047 to $3,981

How much rates vary

Facilitymedian $3,020 · 10th to 90th $794 to $5,495Professionalmedian $372 · 10th to 90th $76 to $2,089
$50$200$1K$5Kfacility $3,020professional $372

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
$794.33
Median
$3,019.95
Typical High
$5,495.41
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$354.81
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$323.59
Typical High
$1,905.46
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$478.63
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$3,715.35
Typical High
$5,623.41
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$346.74
Typical High
$1,995.26
Select Health
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Select Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$346.74
Typical High
$2,754.23
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$1,230.27
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$3,890.45
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$288.40
Typical High
$1,584.89

Where Utah 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

Utah· 10th of 51

$3,391

$372 physician + $3,020 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.