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Upper GI Endoscopy With Esophageal Balloon Dilation

Virginia 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?

$1,470

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

Insurers have agreed to pay about $1,470 for this procedure. That total is two separate charges: $295 to the doctor who performs it, and $1,175 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$295$174 to $1,259
Facility feeThe hospital or surgery center$1,175$282 to $2,630

How much rates vary

Facilitymedian $1,175 · 10th to 90th $178 to $5,129Professionalmedian $295 · 10th to 90th $148 to $1,820
$100$200$500$1K$2K$5K$10Kfacility $1,175professional $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
$288.40
Median
$1,659.59
Typical High
$6,760.83
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$87.10
Median
$131.83
Typical High
$1,000.00
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$34.67
Median
$52.48
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$281.84
Typical High
$1,737.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$524.81
Typical High
$1,778.28
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$162.18
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$870.96
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$288.40
Typical High
$1,778.28
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$1,380.38
Typical High
$2,398.83
Medcost
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$275.42
Typical High
$1,584.89
Medcost
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$309.03
Typical High
$1,819.70
Medcost
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$354.81
Sentara
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$204.17
Typical High
$794.33
Sentara
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$1,071.52
Typical High
$2,691.53
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$2,884.03
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$269.15
Typical High
$1,737.80

Where Virginia 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

Virginia· 45th of 51

$1,470

$295 physician + $1,175 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.