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Upper Endoscopy With Growth Removal By Cautery

Washington, DC 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.

Facilitymedian $1,905 · 10th–90th $437$7,7620%10%10th90th$1,905Professionalmedian $257 · 10th–90th $166$5500%10%20%10th90th$257$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$1,905.46
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$257.04
Typical High
$549.54
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$181.97
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$371.54
Typical High
$1,202.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$575.44
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$3,890.45
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$354.81
Typical High
$912.01