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Upper Endoscopy With Foreign Body Removal

Texas rates for HCPCS 43247

During this upper endoscopy, a flexible scope passed through the mouth is used to locate and remove an object, such as a swallowed item or piece of food, that has become lodged in the esophagus, stomach, or the first part of the small intestine. Special instruments are passed through the scope to safely grasp and withdraw the object. This combines diagnostic viewing with immediate removal in the same procedure.

Rates data updated July 2026.

How much does Upper Endoscopy With Foreign Body Removal cost?

$1,613

Typical total for the visit. In Texas, July 2026.

Insurers have agreed to pay about $1,613 for this procedure. That total is two separate charges: $295 to the doctor who performs it, and $1,318 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 13 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$295$186 to $407
Facility feeThe hospital or surgery center$1,318$490 to $2,818

How much rates vary

Facilitymedian $1,318 · 10th to 90th $245 to $5,012Professionalmedian $295 · 10th to 90th $162 to $550
$50.0$200.0$1.0K$5.0K$20.0Kfacility $1,318professional $295

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
$467.74
Median
$2,290.87
Typical High
$6,165.95
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$89.13
Median
$134.90
Typical High
$229.09
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$35.48
Median
$54.95
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$295.12
Typical High
$562.34
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$186.21
Typical High
$302.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,288.25
Typical High
$2,630.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$281.84
Typical High
$478.63
Baylor Scott & White
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$870.96
Typical High
$2,630.27
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$239.88
Typical High
$575.44
Christus
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$724.44
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$724.44
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$338.84
Typical High
$660.69
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$28,840.32
Typical High
$28,840.32
Lucent Health
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Lucent Health
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,162.28
Typical High
$3,162.28
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$346.74
Typical High
$676.08
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$467.74
Typical High
$776.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$323.59
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$263.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$346.74
Typical High
$691.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$354.81
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,949.84
Typical High
$4,073.80
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$275.42
Typical High
$512.86
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$407.38
Typical High
$575.44

Where Texas sits

The same service costs 7.4 times more in New Jersey than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeTexas $1,613 · 39th of 51
NJ $5,572ND $752

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.