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Upper Endoscopy With Biopsy

Massachusetts rates for HCPCS 43239

A procedure in which a thin, flexible scope with a camera is passed through the mouth to examine the esophagus, stomach, and the first part of the small intestine, with one or more tissue samples taken during the exam for laboratory testing. It's used both to look directly at the lining of these organs and to sample any areas of concern, such as suspicious tissue or ulcers. Patients are typically sedated for comfort during the exam.

Rates data updated July 2026.

Facilitymedian $1,698 · 10th–90th $145$4,2660%10%10th90th$1,698Professionalmedian $331 · 10th–90th $126$1,0000%10%10th90th$331$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,344.23
Typical High
$4,897.79
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$72.44
Median
$208.93
Typical High
$794.33
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$28.84
Median
$85.11
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$257.04
Typical High
$954.99
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$1,949.84
Typical High
$28,840.32
AllWays Health Partners
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
AllWays Health Partners
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$398.11
Typical High
$2,630.27
BCBS
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$537.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$524.81
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$891.25
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$371.54
Typical High
$851.14
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$181.97
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$588.84
Typical High
$851.14
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$3,162.28
Typical High
$8,511.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$426.58
Typical High
$1,047.13
Health New England
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,905.46
Typical High
$4,073.80
Health New England
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$338.84
Typical High
$691.83
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$1,949.84
Typical High
$28,840.32
Mass General Brigham
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Mass General Brigham
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$398.11
Typical High
$2,630.27
Tufts
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$169.82
Typical High
$1,202.26
Tufts
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$141.25
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$2,398.83
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$380.19
Typical High
$1,096.48