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Growth Removal From the Gullet by Endoscopy

Illinois rates for HCPCS 43216

Passes a flexible camera on a thin tube through the mouth into the gullet and removes a polyp or other growth from its lining during the same examination. The tissue taken out is sent to the laboratory for examination.

Rates data updated July 2026.

How much does Growth Removal From the Gullet by Endoscopy cost?

$1,148

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $1,148 for this service. Most negotiated rates run $490 to $2,291.

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.

How much rates vary

Facilitymedian $1,380 · 10th to 90th $257 to $5,370Professionalmedian $562 · 10th to 90th $178 to $1,413
$200$500$1K$2K$5K$10Kfacility $1,380professional $562

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
$257.04
Median
$1,258.93
Typical High
$5,370.32
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,454.71
Typical High
$3,311.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$1,698.24
Typical High
$2,754.23
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$562.34
Typical High
$1,412.54
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$3,388.44
Typical High
$6,165.95

Where Illinois sits

The same service costs 20.0 times more in Indiana than in Montana. 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.

Illinois· 29th of 50

$1,148

IN $6,166MT $309

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.