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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.

Facilitymedian $4,786 · 10th–90th $813$10,9650%5%10th90th$4,786Professionalmedian $282 · 10th–90th $158$6310%10%10th90th$282$50.0$200.0$1.0K$5.0K$20.0K

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
$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