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Upper Endoscopy With Injection of Varices

Montana 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?

$407

Typical facility fee. In Montana, July 2026.

Insurers have agreed to pay about $407 for this service. Most negotiated rates run $372 to $457.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $407 · 10th to 90th $295 to $603
$200$500$1K$2K$5Kfacility $407

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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$407.38
Typical High
$501.19
Providence
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$371.54
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$3,890.45

Where Montana 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.

Montana· 43rd of 50

$407

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.