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Upper Endoscopy With Stent Placement

South Dakota rates for HCPCS 43266

An examination of the food pipe, stomach and first part of the small intestine with a flexible scope passed through the mouth, during which a stent — a short expandable tube — is placed across a narrowed segment to hold it open. A guide wire is used to position it, and the narrowing may be stretched before and after the stent goes in. Sedation or anesthesia is used, and the stent device is charged separately.

Rates data updated July 2026.

How much does Upper Endoscopy With Stent Placement cost?

$363

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $363 for this service. Most negotiated rates run $295 to $417.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $447 · 10th to 90th $209 to $4,365Professionalmedian $363 · 10th to 90th $275 to $457
$200$500$1K$2K$5K$10Kfacility $447professional $363

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
$218.78
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Avera
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$346.74
Typical High
$1,000.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$512.86
Typical High
$512.86
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$354.81
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$12,302.69

Where South Dakota sits

The same service costs 57.5 times more in Wyoming than in Delaware. 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.

South Dakota· 46th of 51

$363

WY $12,303DE $214

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.