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Upper Endoscopy With Growth Removal By Cautery

Nationwide rates for HCPCS 43250

This procedure uses a thin, flexible lighted scope passed through the mouth into the esophagus, stomach, and the first part of the small intestine to remove a small growth or polyp using a heated instrument that also seals the tissue as it cuts. It is done under sedation and combines diagnosis and treatment in a single visit.

Rates data updated July 2026.

Facilitymedian $2,630 · 10th–90th $251$8,5110%5%10th90th$2,630Professionalmedian $355 · 10th–90th $166$8710%10%20%10th90th$355$2.0$20.0$200.0$2.0K$20.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$3,019.95
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$295.12
Typical High
$741.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$4,897.79
Typical High
$10,964.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$363.08
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$977.24
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$380.19
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$2,511.89
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$302.00
Typical High
$851.14