go back

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.

How much does Upper Endoscopy With Growth Removal By Cautery cost?

$881

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

Insurers have agreed to pay about $881 for this procedure. That total is two separate charges: $331 to the doctor who performs it, and $550 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$331$209 to $692
Facility feeThe hospital or surgery center$550$282 to $1,549

How much rates vary

Facilitymedian $550 · 10th to 90th $209 to $4,898Professionalmedian $331 · 10th to 90th $178 to $871
$200$500$1K$2K$5Kfacility $550professional $331

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
$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

Where Idaho 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

Idaho· 44th of 51

$881

$331 physician + $550 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.