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Upper Endoscopy With Tube or Catheter Placement

Massachusetts rates for HCPCS 43241

A thin flexible scope is passed through the mouth into the esophagus, stomach and the first part of the small intestine, and a feeding or drainage tube is guided into position through it. Seeing the lining directly lets the doctor steer the tube past narrowed areas and confirm where it ends up. Sedation is normally given.

Rates data updated July 2026.

How much does Upper Endoscopy With Tube or Catheter Placement cost?

$2,692

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $2,692 for this service. Most negotiated rates run $1,259 to $3,388.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,692 · 10th to 90th $162 to $5,129
$100$500$2K$10Kfacility $2,692

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
$1,513.56
Median
$2,818.38
Typical High
$3,715.35
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$3,090.30
Typical High
$28,840.32
AllWays Health Partners
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,513.56
Typical High
$1,995.26
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$186.21
Typical High
$3,311.31
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$3,162.28
Typical High
$8,511.38
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$3,090.30
Typical High
$28,840.32
Mass General Brigham
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$2,951.21
Typical High
$7,585.78

Where Massachusetts sits

The same service costs 46.8 times more in Indiana 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.

Massachusetts· 18th of 50

$2,692

IN $6,607ND $141

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.