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Upper Endoscopy With Growth Removal By Cautery

Delaware 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?

$736

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

Insurers have agreed to pay about $736 for this procedure. That total is two separate charges: $257 to the doctor who performs it, and $479 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$257$178 to $501
Facility feeThe hospital or surgery center$479$166 to $513

How much rates vary

Facilitymedian $479 · 10th to 90th $158 to $2,344Professionalmedian $257 · 10th to 90th $166 to $562
$200$500$1K$2K$5Kfacility $479professional $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
$158.49
Median
$478.63
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$257.04
Typical High
$562.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$309.03
Typical High
$741.31
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$177.83
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$245.47
Typical High
$562.34

Where Delaware 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

Delaware· 50th of 51

$736

$257 physician + $479 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.