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Upper Endoscopy With Injection of Swollen Veins

Rhode Island rates for HCPCS 43204

Passes a flexible lighted tube through the mouth into the food pipe and injects a medicine into swollen veins in its wall to scar them closed. These veins, called varices, form when liver disease dams up blood flow, and they can bleed heavily. Sealing them stops bleeding or prevents it from starting.

Rates data updated July 2026.

How much does Upper Endoscopy With Injection of Swollen Veins cost?

$234

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $2,399 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 4 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$234$166 to $288
FacilityA hospital or hospital-owned outpatient department$2,399$1,622 to $4,074

How much rates vary

Facilitymedian $2,399 · 10th to 90th $832 to $5,012Professionalmedian $234 · 10th to 90th $145 to $288
$200$500$1K$2K$5Kfacility $2,399professional $234

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
$1,513.56
Median
$1,548.82
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$234.42
Typical High
$288.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$177.83
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$269.15
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$3,467.37
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$190.55
Typical High
$302.00

Where Rhode Island sits

The same service costs 4.4 times more in California 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.

Rhode Island· 13th of 51

$234

CA $646DE $148

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.