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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.

Facilitymedian $479 · 10th–90th $158$2,3440%20%10th90th$479Professionalmedian $257 · 10th–90th $166$5620%20%10th90th$257$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$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