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Upper Endoscopy With Injection of Varices

Illinois 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?

$1,318

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $1,318 for this service. Most negotiated rates run $468 to $2,630.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,862 · 10th to 90th $457 to $5,623Professionalmedian $427 · 10th to 90th $257 to $1,445
$200$500$1K$2K$5K$10Kfacility $1,862professional $427

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
$457.09
Median
$1,737.80
Typical High
$5,623.41
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,754.23
Typical High
$3,981.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,698.24
Typical High
$2,754.23
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$426.58
Typical High
$1,445.44
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$2,089.30
Typical High
$4,677.35

Where Illinois 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.

Illinois· 31st of 50

$1,318

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.