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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.

How much does Upper Endoscopy With Growth Removal By Cautery cost?

$437

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $437 for this service. Most negotiated rates run $195 to $525.

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.

How much rates vary

Facilitymedian $1,905 · 10th to 90th $437 to $7,762Professionalmedian $257 · 10th to 90th $166 to $550
$200$500$1K$2K$5K$10Kfacility $1,905professional $257

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
$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

Where Washington, DC sits

The same service costs 2.9 times more in Minnesota than in Vermont. 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.

Washington, DC· 11th of 51

$437

MN $589VT $204

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.