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Upper Endoscopy With Growth Removal By Cautery

Connecticut 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?

$5,253

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

Insurers have agreed to pay about $5,253 for this procedure. That total is two separate charges: $355 to the doctor who performs it, and $4,898 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$355$195 to $525
Facility feeThe hospital or surgery center$4,898$3,890 to $6,166

How much rates vary

Facilitymedian $4,898 · 10th to 90th $2,692 to $8,511Professionalmedian $355 · 10th to 90th $166 to $776
$200$500$1K$2K$5K$10Kfacility $4,898professional $355

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
$2,754.23
Median
$5,011.87
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$323.59
Typical High
$691.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$4,168.69
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$346.74
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,737.80
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$389.05
Typical High
$1,047.13
ConnectiCare
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$602.56
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$5,248.07
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$446.68
Typical High
$1,023.29

Where Connecticut 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

Connecticut· 4th of 51

$5,253

$355 physician + $4,898 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.