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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.

Facilitymedian $1,514 · 10th–90th $759$2,4550%10%10th90th$1,514Professionalmedian $339 · 10th–90th $162$8510%10%10th90th$339$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$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