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Upper Endoscopy With Heat Treatment For Reflux

California rates for HCPCS 43257

A flexible scope is passed through the mouth down to the junction where the esophagus meets the stomach, and controlled heat energy is applied to the muscle of that valve area. The treatment aims to firm up the valve so stomach contents wash back up less easily. It is used for long-standing heartburn and reflux.

Rates data updated July 2026.

How much does Upper Endoscopy With Heat Treatment For Reflux cost?

$5,495

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $5,495 for this service. Most negotiated rates run $3,548 to $8,318.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,888 · 10th to 90th $1,202 to $13,804Professionalmedian $229 · 10th to 90th $186 to $490
$100.0$1.0K$10.0Kfacility $5,888professional $229

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
$2,884.03
Median
$6,918.31
Typical High
$19,054.61
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$6,025.60
Typical High
$13,489.63
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$5,888.44
Typical High
$12,022.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,023.29
Typical High
$4,570.88
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$229.09
Typical High
$309.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$234.42
Typical High
$524.81
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$45,708.82
Typical High
$45,708.82
Providence
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$316.23
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$7,244.36
Typical High
$15,135.61

Where California sits

The same service costs 43.7 times more in Indiana than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $5,495 · 9th of 50
IN $10,233ND $234

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.