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Upper Endoscopy With Injection of Varices

North Carolina 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?

$380

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $380 for this service. Most negotiated rates run $275 to $933.

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 $380 · 10th to 90th $229 to $5,012Professionalmedian $427 · 10th to 90th $427 to $427
$200$500$1K$2K$5Kfacility $380professional $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. 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
$1,659.59
Typical High
$7,943.28
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
$1,584.89
Medcost
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Medcost
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$316.23
Typical High
$524.81
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

Where North Carolina 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.

North Carolina· 45th of 50

$380

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.