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Upper Endoscopy With Injection of Varices

Virginia 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?

$427

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $427 for this service. Most negotiated rates run $288 to $3,311.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $437 · 10th to 90th $257 to $6,918Professionalmedian $282 · 10th to 90th $204 to $490
$200$500$1K$2K$5K$10Kfacility $437professional $282

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
$269.15
Median
$3,630.78
Typical High
$8,317.64
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$870.96
Typical High
$977.24
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$245.47
Typical High
$457.09
Medcost
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$371.54
Typical High
$537.03
Medcost
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$331.13
Typical High
$537.03
Sentara
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$316.23
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$2,884.03
Typical High
$5,754.40

Where Virginia 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.

Virginia· 42nd of 50

$427

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.