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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.

Facilitymedian $6,166 · 10th–90th $427$10,4710%10%10th90th$6,166Professionalmedian $331 · 10th–90th $166$5890%10%10th90th$331$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$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