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Upper Endoscopy With Injection of Varices

California rates for HCPCS 43243

A flexible lighted scope is passed through the mouth into the esophagus, stomach, and the first part of the small intestine, and a sealing medicine is injected into swollen veins called varices. Sealing them stops bleeding, or prevents a vein that has already bled from bleeding again. The person is sedated throughout.

Rates data updated July 2026.

How much does Upper Endoscopy With Injection of Varices cost?

$5,129

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $5,129 for this service. Most negotiated rates run $2,818 to $7,943.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,495 · 10th to 90th $708 to $13,804Professionalmedian $251 · 10th to 90th $195 to $575
$100$500$2K$10Kfacility $5,495professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$6,456.54
Typical High
$18,197.01
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$5,888.44
Typical High
$13,489.63
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$4,073.80
Typical High
$8,511.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$1,023.29
Typical High
$1,862.09
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$302.00
Typical High
$457.09
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$239.88
Typical High
$588.84
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$28,840.32
Typical High
$28,840.32
Providence
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$323.59
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$4,168.69
Typical High
$9,549.93

Where California sits

The same service costs 28.8 times more in Indiana than in West Virginia. 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.

California· 3rd of 50

$5,129

IN $6,761WV $234

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.