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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.

How much does Upper Endoscopy With Growth Removal By Cautery cost?

$1,007

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

Insurers have agreed to pay about $1,007 for this procedure. That total is two separate charges: $550 to the doctor who performs it, and $457 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$550$380 to $1,259
Facility feeThe hospital or surgery center$457$257 to $759

How much rates vary

Facilitymedian $457 · 10th to 90th $195 to $1,288Professionalmedian $550 · 10th to 90th $170 to $2,138
$200$500$1K$2K$5K$10Kfacility $457professional $550

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
$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

Where Alaska sits

The same service costs 10.1 times more in Indiana than in Montana. 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.

Physician feeFacility fee

Alaska· 40th of 51

$1,007

$550 physician + $457 facility

IN $6,497MT $643

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.