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Upper GI Endoscopy With Esophageal Balloon Dilation

Vermont 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?

$288

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $288 for this service. Most negotiated rates run $186 to $1,380.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,818 · 10th to 90th $10 to $3,311Professionalmedian $288 · 10th to 90th $166 to $2,754
$10$50$200$1Kfacility $2,818professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$9.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$239.88
Typical High
$2,754.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$3,162.28
Typical High
$3,311.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,819.70
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$302.00
Typical High
$2,187.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,479.11
Typical High
$2,818.38
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$371.54
Typical High
$2,344.23

Where Vermont sits

The same service costs 4.1 times more in Hawaii than in Michigan. 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.

Vermont· 49th of 51

$288

HI $1,096MI $269

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.