go back

Upper Endoscopy With Growth Removal By Cautery

Florida 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?

$5,068

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

Insurers have agreed to pay about $5,068 for this procedure. That total is two separate charges: $282 to the doctor who performs it, and $4,786 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$282$178 to $479
Facility feeThe hospital or surgery center$4,786$1,995 to $7,762

How much rates vary

Facilitymedian $4,786 · 10th to 90th $813 to $10,965Professionalmedian $282 · 10th to 90th $158 to $631
$50$200$1K$5Kfacility $4,786professional $282

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
$741.31
Median
$4,786.30
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$323.59
Typical High
$645.65
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$147.91
Typical High
$537.03
AvMed
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,995.26
Typical High
$10,471.29
AvMed
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$223.87
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$870.96
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$331.13
Typical High
$741.31
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$5,888.44
Typical High
$11,481.54
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$229.09
Typical High
$562.34
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$128.82
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$3,090.30
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$275.42
Typical High
$660.69
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$239.88
Typical High
$512.86

Where Florida 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

Florida· 5th of 51

$5,068

$282 physician + $4,786 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.