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Upper Endoscopy With Growth Removal By Cautery

Kansas 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 $2,344 · 10th–90th $263$7,4130%5%10th90th$2,344Professionalmedian $339 · 10th–90th $178$9120%10%10th90th$339$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
$549.54
Median
$3,467.37
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$309.03
Typical High
$758.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$2,238.72
Typical High
$2,344.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,096.48
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$354.81
Typical High
$741.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$398.11
Typical High
$2,511.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$616.60
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$1,445.44
Typical High
$3,548.13
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$281.84
Typical High
$645.65