go back

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 October 2026.

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

$1,778

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

Insurers have agreed to pay about $1,778 for this procedure. That total is two separate charges: $398 to the doctor who performs it, and $1,380 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$398$269 to $490
Facility feeThe hospital or surgery center$1,380$1,047 to $1,413

How much rates vary

Facilitymedian $1,380 · 10th to 90th $575 to $1,950Professionalmedian $398 · 10th to 90th $174 to $851
$200$500$1K$2Kfacility $1,380professional $398

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$1,230.27
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$851.14
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$169.82
Median
$169.82
Typical High
$426.58
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$67.61
Median
$67.61
Typical High
$169.82
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$257.04
Median
$257.04
Typical High
$645.65
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$51.29
Median
$51.29
Typical High
$128.82
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$33.88
Median
$33.88
Typical High
$85.11
Ambetter
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
BCBS Alabama
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$1,412.54
Typical High
$1,412.54
BCBS Alabama
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$407.38
Typical High
$602.56
Cigna
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$891.25
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$407.38
Typical High
$489.78
United
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$1,000.00
Typical High
$3,162.28
United
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$281.84
Typical High
$478.63

Where Alabama sits

The same service costs 5.4 times more in Colorado than in West Virginia. 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· 23rd of 51

$1,778

$398 physician + $1,380 facility

CO $4,173WV $767

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.