Upper Endoscopy With Limited Ultrasound

Vermont rates for HCPCS 43237

A flexible camera with an ultrasound probe on its tip is passed through the mouth, so the doctor can both look at the lining and see through the wall into the tissue beneath and beside it. Here the ultrasound part is limited to one area of the upper digestive tract and the structures right next to it. No tissue sample is taken as part of it.

Rates data updated July 2026.

How much rates vary

Facilitymedian $3,162 · 10th to 90th $3,162 to $3,631

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
BCBS Setting Facility Modifier Global Typical Low $3,162.28 Median $3,162.28 Typical High $3,630.78	Facility	Global	$3,162.28	$3,162.28	$3,630.78