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Upper Endoscopy With Growth Removal By Cautery

Idaho 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 $550 · 10th–90th $209$4,8980%5%10th90th$550Professionalmedian $331 · 10th–90th $178$8710%5%10%10th90th$331$50.0$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
$1,621.81
Median
$5,495.41
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$257.04
Typical High
$851.14
BCBS
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,819.70
Typical High
$4,897.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$630.96
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$346.74
Typical High
$776.25
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$380.19
Typical High
$1,023.29
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$363.08
Typical High
$954.99
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$457.09
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$3,890.45
Typical High
$6,165.95
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$389.05
Typical High
$912.01
Select Health
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$2,398.83
Typical High
$3,890.45
Select Health
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$316.23
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$6,165.95
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$331.13
Typical High
$741.31