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Upper Endoscopy With Growth Removal By Cautery

Alaska 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 $457 · 10th–90th $195$1,2880%5%10%10th90th$457Professionalmedian $550 · 10th–90th $170$2,1380%10%10th90th$550$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$524.81
Median
$1,995.26
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$436.52
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$389.05
Typical High
$1,202.26
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$426.58
Typical High
$1,122.02
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$1,174.90
Typical High
$2,754.23
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,288.25
Typical High
$2,290.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$426.58
Typical High
$1,122.02
Providence
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$426.58
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$446.68
Typical High
$1,412.54