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Upper Endoscopy With Growth Removal By Cautery

Arizona 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?

$2,365

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

Insurers have agreed to pay about $2,365 for this procedure. That total is two separate charges: $324 to the doctor who performs it, and $2,042 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$324$182 to $501
Facility feeThe hospital or surgery center$2,042$513 to $3,890

How much rates vary

Facilitymedian $2,042 · 10th to 90th $214 to $5,623Professionalmedian $324 · 10th to 90th $166 to $851
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $2,042professional $324

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
$1,584.89
Median
$3,090.30
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$323.59
Typical High
$758.58
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
BCBS
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$2,290.87
Typical High
$4,466.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$489.78
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$977.24
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$316.23
Typical High
$758.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$371.54
Typical High
$1,174.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$512.86
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,659.59
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$263.03
Typical High
$645.65

Where Arizona sits

The same service costs 10.1 times more in Indiana than in Montana. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeArizona $2,365 · 24th of 51
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.