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Upper Endoscopy With Growth Removal By Cautery

Colorado 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?

$3,575

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

Insurers have agreed to pay about $3,575 for this procedure. That total is two separate charges: $339 to the doctor who performs it, and $3,236 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$339$178 to $525
Facility feeThe hospital or surgery center$3,236$457 to $6,457

How much rates vary

Facilitymedian $3,236 · 10th to 90th $219 to $8,128Professionalmedian $339 · 10th to 90th $166 to $724
$200$500$1K$2K$5K$10Kfacility $3,236professional $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
$457.09
Median
$5,128.61
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$338.84
Typical High
$691.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$6,760.83
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$371.54
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,096.48
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$323.59
Typical High
$794.33
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$316.23
Typical High
$758.58
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$524.81
Typical High
$1,202.26
Select Health
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$309.03
Typical High
$1,096.48
Select Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$181.97
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$3,311.31
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$338.84
Typical High
$776.25

Where Colorado 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

Colorado· 11th of 51

$3,575

$339 physician + $3,236 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.