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Upper Endoscopy With Growth Removal By Cautery

Alabama 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?

$1,852

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

Insurers have agreed to pay about $1,852 for this procedure. That total is two separate charges: $339 to the doctor who performs it, and $1,514 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$339$186 to $490
Facility feeThe hospital or surgery center$1,514$1,122 to $1,905

How much rates vary

Facilitymedian $1,514 · 10th to 90th $759 to $2,455Professionalmedian $339 · 10th to 90th $162 to $851
$200$500$1K$2K$5Kfacility $1,514professional $339

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
$758.58
Median
$1,122.02
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$338.84
Typical High
$851.14
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$112.20
Typical High
$147.91
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,584.89
Typical High
$2,137.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$407.38
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$354.81
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,778.28
Typical High
$3,235.94
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$288.40
Typical High
$562.34

Where Alabama 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

Alabama· 33rd of 51

$1,852

$339 physician + $1,514 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.