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Upper Endoscopy With Ultrasound-Guided Biopsy

Mississippi rates for HCPCS 43242

A flexible camera is passed through the mouth into the food pipe, stomach and first part of the small intestine, with an ultrasound probe on its tip that sees through the gut wall into nearby organs such as the pancreas, bile duct and lymph nodes. A fine needle is then passed through the wall under ultrasound guidance to take samples from a lump or gland. The ultrasound survey covers the full upper tract rather than one area alone.

Rates data updated October 2026.

How much does Upper Endoscopy With Ultrasound-Guided Biopsy cost?

$1,231

Typical total for the visit. In Mississippi, October 2026.

Insurers have agreed to pay about $1,231 for this procedure. That total is two separate charges: $380 to the doctor who performs it, and $851 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$380$263 to $525
Facility feeThe hospital or surgery center$851$617 to $1,479

How much rates vary

Facilitymedian $851 · 10th to 90th $490 to $2,692Professionalmedian $380 · 10th to 90th $240 to $741
$50$100$200$500$1K$2K$5Kfacility $851professional $380

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$549.54
Median
$776.25
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$512.86
Typical High
$741.31
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$120.23
Median
$257.04
Typical High
$371.54
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$47.86
Median
$102.33
Typical High
$147.91
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$181.97
Median
$380.19
Typical High
$562.34
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$36.31
Median
$75.86
Typical High
$112.20
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$23.99
Median
$51.29
Typical High
$74.13
Ambetter
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$288.40
Typical High
$323.59
BCBS Mississippi
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
BCBS Mississippi
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$891.25
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$416.87
Typical High
$537.03
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$758.58
Typical High
$3,311.31
United
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$316.23
Typical High
$724.44

Where Mississippi sits

The same service costs 5.1 times more in Colorado than in Montana. 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.

Physician feeFacility fee

Mississippi· 45th of 51

$1,231

$380 physician + $851 facility

CO $4,182MT $815

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.