go back

Upper Endoscopy With Growth Removal By Cautery

Indiana 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?

$6,497

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

Insurers have agreed to pay about $6,497 for this procedure. That total is two separate charges: $331 to the doctor who performs it, and $6,166 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$331$182 to $468
Facility feeThe hospital or surgery center$6,166$2,344 to $8,913

How much rates vary

Facilitymedian $6,166 · 10th to 90th $427 to $10,471Professionalmedian $331 · 10th to 90th $166 to $589
$200$500$1K$2K$5K$10Kfacility $6,166professional $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
$181.97
Median
$724.44
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$281.84
Typical High
$575.44
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$426.58
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$8,128.31
Typical High
$10,471.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$371.54
Typical High
$588.84
CareSource
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$169.82
Typical High
$190.55
CareSource
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$323.59
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$3,467.37
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$275.42
Typical High
$588.84

Where Indiana 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

Indiana· 1st of 51

$6,497

$331 physician + $6,166 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.