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Upper Endoscopy With Growth Removal By Cautery

Iowa 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?

$3,349

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

Insurers have agreed to pay about $3,349 for this procedure. That total is two separate charges: $398 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$398$209 to $759
Facility feeThe hospital or surgery center$2,951$589 to $4,898

How much rates vary

Facilitymedian $2,951 · 10th to 90th $282 to $6,457Professionalmedian $398 · 10th to 90th $166 to $1,000
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $2,951professional $398

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
$758.58
Median
$3,630.78
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$281.84
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$457.09
Typical High
$1,174.90
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$588.84
Typical High
$1,122.02
Medica
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$537.03
Typical High
$4,677.35
Medica
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$758.58
Typical High
$3,311.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$630.96
Typical High
$1,096.48
Midlands
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$1,258.93
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$380.19
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$4,168.69
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$426.58
Typical High
$1,023.29
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$389.05
Typical High
$1,230.27

Where Iowa 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 feeIowa $3,349 · 12th 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.