go back

Upper Endoscopy With Growth Removal By Cautery

Arkansas 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?

$1,824

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

Insurers have agreed to pay about $1,824 for this procedure. That total is two separate charges: $275 to the doctor who performs it, and $1,549 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$275$178 to $479
Facility feeThe hospital or surgery center$1,549$832 to $1,820

How much rates vary

Facilitymedian $1,549 · 10th to 90th $302 to $2,455Professionalmedian $275 · 10th to 90th $166 to $537
$200$500$1K$2K$5Kfacility $1,549professional $275

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
$234.42
Median
$1,174.90
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$263.03
Typical High
$524.81
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$112.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$2,454.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$234.42
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$512.86
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$309.03
Typical High
$741.31
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,445.44
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$309.03
Typical High
$691.83

Where Arkansas 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

Arkansas· 34th of 51

$1,824

$275 physician + $1,549 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.