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Scope Removal of Food Pipe Lining Tissue

Vermont rates for HCPCS 43211

A flexible scope is passed through the mouth into the food pipe and an abnormal patch of the lining is lifted away from the wall beneath it, usually by injecting fluid underneath, then cut free and retrieved. It is used for early growths or precancerous change confined to the surface layer. The tissue removed is sent for laboratory examination to check the depth and the edges.

Rates data updated October 2026.

How much does Scope Removal of Food Pipe Lining Tissue cost?

$380

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $380 for this service. Most negotiated rates run $331 to $398.

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 $468 to $1,995Professionalmedian $380 · 10th to 90th $269 to $468
$200$500$1K$2Kfacility $1,259professional $380

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
$269.15
Median
$275.42
Typical High
$323.59
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$398.11
Typical High
$398.11
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$346.74
Typical High
$602.56
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
$263.03
Median
$331.13
Typical High
$478.63

Where Vermont sits

The same service costs 4.8 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· 14th of 51

$380

AK $933UT $195

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.