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Upper Endoscopy With Growth Removal By Cautery

Illinois 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 $1,622 · 10th–90th $331$5,3700%5%10th90th$1,622Professionalmedian $347 · 10th–90th $170$8130%10%10th90th$347$50.0$200.0$1.0K$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
$331.13
Median
$1,479.11
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$331.13
Typical High
$776.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$181.97
Typical High
$426.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,630.27
Typical High
$3,388.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$446.68
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,698.24
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$363.08
Typical High
$794.33
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$630.96
Typical High
$1,479.11
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$213.80
Typical High
$588.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$2,089.30
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$323.59
Typical High
$758.58