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Upper Endoscopy With Injection of Swollen Veins

Vermont 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 October 2026.

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

$229

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $229 for this service. Most negotiated rates run $191 to $245.

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.

How much rates vary

Facilitymedian $1,259 · 10th to 90th $309 to $1,995Professionalmedian $229 · 10th to 90th $162 to $302
$100$200$500$1K$2Kfacility $1,259professional $229

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$245.47
Typical High
$245.47
Cigna
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$229.09
Typical High
$275.42
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$204.17
Typical High
$346.74
United
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
United
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$190.55
Typical High
$302.00

Where Vermont sits

The same service costs 5.4 times more in Alaska than in Utah. 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.

Vermont· 19th of 51

$229

AK $537UT $100

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.