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Upper Endoscopy With Injection Into the Wall

California rates for HCPCS 43236

A flexible camera is passed through the mouth into the food pipe, stomach and first part of the small intestine, and a substance is injected through a fine needle into the wall of the gut at a chosen spot. The injection may lift a growth away from the deeper layers before it is removed, mark a site so a surgeon can find it later, or deliver a medicine straight into the tissue. Sedation is used and you go home the same day.

Rates data updated July 2026.

How much does Upper Endoscopy With Injection Into the Wall cost?

$4,467

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $4,467 for this service. Most negotiated rates run $759 to $7,413.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,248 · 10th to 90th $437 to $13,490Professionalmedian $389 · 10th to 90th $126 to $813
$100$500$2K$10Kfacility $5,248professional $389

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
$1,905.46
Median
$6,165.95
Typical High
$16,982.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$5,888.44
Typical High
$13,489.63
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$3,715.35
Typical High
$8,511.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$724.44
Typical High
$1,698.24
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$245.47
Typical High
$707.95
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$426.58
Typical High
$831.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$28,840.32
Typical High
$28,840.32
Providence
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$371.54
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$4,073.80
Typical High
$9,549.93

Where California sits

The same service costs 15.1 times more in New Jersey 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.

California· 3rd of 50

$4,467

NJ $5,754ND $380

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.