go back

Cutting the Tight Muscle of the Swallowing Tube

Montana rates for HCPCS 43331

Divides the tightened muscle at the lower end of the swallowing tube so that food and liquid can pass into the stomach again, working through an incision in the chest. It treats a condition in which that muscle fails to relax and food backs up above it.

Rates data updated July 2026.

How much does Cutting the Tight Muscle of the Swallowing Tube cost?

$1,995

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,995 for this service. The price depends on where it is billed: about $1,862 from a physician practice, and about $2,291 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,862$1,318 to $2,291
FacilityA hospital or hospital-owned outpatient department$2,291$1,905 to $2,399

How much rates vary

Facilitymedian $2,291 · 10th to 90th $1,549 to $2,754Professionalmedian $1,862 · 10th to 90th $1,230 to $3,311
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $2,291professional $1,862

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
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,318.26
Typical High
$6,918.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,819.70
Typical High
$3,981.07
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,290.87
Typical High
$2,570.40
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,290.87
Typical High
$2,570.40
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,949.84
Typical High
$3,388.44
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$2,089.30
Typical High
$3,548.13
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,187.76
Typical High
$2,818.38

Where Montana sits

The same service costs 2.3 times more in California than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Montana $1,995 · 10th of 51
CA $3,090WV $1,349

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.