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Cutting The Lower Food Pipe Muscle Through A Scope

Ohio rates for HCPCS 43497

Treats a food pipe that will not relax at its lower end by working entirely through a scope passed in through the mouth. The surgeon tunnels within the wall of the food pipe and divides the tight muscle ring from the inside, so swallowed food can pass into the stomach. No incisions are made on the outside of the body.

Rates data updated July 2026.

How much does Cutting The Lower Food Pipe Muscle Through A Scope cost?

$3,802

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $3,802 for this service. Most negotiated rates run $2,512 to $7,586.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,802 · 10th to 90th $1,230 to $12,589
$1K$2K$5K$10Kfacility $3,802

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
$1,479.11
Median
$3,801.89
Typical High
$12,589.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,467.37
Typical High
$15,135.61
CareSource
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$776.25
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,202.26
Typical High
$1,258.93
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,202.26
Typical High
$1,318.26
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$9,332.54
United
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$4,570.88
Typical High
$8,128.31

Where Ohio sits

The same service costs 20.9 times more in West Virginia than in North Dakota. 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.

Ohio· 18th of 50

$3,802

WV $16,218ND $776

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.