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Upper Endoscopy With Tube or Catheter Placement

North Carolina 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?

$269

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $269 for this service. Most negotiated rates run $170 to $1,660.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $269 · 10th to 90th $138 to $6,607Professionalmedian $251 · 10th to 90th $251 to $251
$100.0$500.0$2.0K$10.0Kfacility $269professional $251

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$3,019.95
Typical High
$7,244.36
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$69.18
Median
$114.82
Typical High
$281.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$616.60
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,000.00
Typical High
$1,479.11
Medcost
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Medcost
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$190.55
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,995.26
Typical High
$6,309.57
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$28,840.32
Wellcare
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07

Where North Carolina sits

The same service costs 46.8 times more in Indiana than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $269 · 42nd of 50
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.