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Upper Endoscopy With Growth Removal By Cautery

Georgia 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?

$3,314

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

Insurers have agreed to pay about $3,314 for this procedure. That total is two separate charges: $363 to the doctor who performs it, and $2,951 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$363$204 to $525
Facility feeThe hospital or surgery center$2,951$1,380 to $5,012

How much rates vary

Facilitymedian $2,951 · 10th to 90th $589 to $6,918Professionalmedian $363 · 10th to 90th $170 to $776
$100.0$1.0K$10.0Kfacility $2,951professional $363

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
$467.74
Median
$4,466.84
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$371.54
Typical High
$741.31
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$2,137.96
Typical High
$5,248.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$354.81
Typical High
$794.33
CareSource
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$741.31
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$371.54
Typical High
$831.76
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$512.86
Typical High
$954.99
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$288.40
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$2,290.87
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$338.84
Typical High
$758.58

Where Georgia sits

The same service costs 10.1 times more in Indiana than in Montana. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeGeorgia $3,314 · 14th of 51
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.