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Upper Endoscopy With Heat Treatment For Reflux

Ohio 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.

Facilitymedian $4,169 · 10th–90th $575$10,9650%5%10%10th90th$4,169$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$6,606.93
Typical High
$12,022.64
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,388.44
Typical High
$15,135.61
CareSource
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$245.47
Typical High
$3,019.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$562.34
Typical High
$4,570.88
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$575.44
Typical High
$4,570.88
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$3,388.44
Typical High
$7,762.47