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Upper Endoscopy With Injection of Varices

Wisconsin 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?

$3,020

Typical facility fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $3,020 for this service. Most negotiated rates run $501 to $4,786.

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 10 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,981 · 10th to 90th $324 to $6,918Professionalmedian $490 · 10th to 90th $269 to $759
$200$500$1K$2K$5K$10Kfacility $3,981professional $490

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
$257.04
Median
$478.63
Typical High
$14,454.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,677.35
Typical High
$7,079.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$707.95
Typical High
$1,122.02
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$363.08
Typical High
$3,715.35
Medica
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$398.11
Typical High
$4,897.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$3,890.45
Typical High
$4,570.88
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$302.00
Typical High
$707.95
Quartz
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$489.78
Typical High
$758.58
Quartz
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$5,011.87
Typical High
$5,011.87
Security Health
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$3,630.78
Typical High
$6,025.60

Where Wisconsin 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.

Wisconsin· 12th of 50

$3,020

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.