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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.

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

$2,683

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

Insurers have agreed to pay about $2,683 for this procedure. That total is two separate charges: $339 to the doctor who performs it, and $2,344 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$339$234 to $759
Facility feeThe hospital or surgery center$2,344$661 to $5,495

How much rates vary

Facilitymedian $2,344 · 10th to 90th $263 to $7,413Professionalmedian $339 · 10th to 90th $178 to $912
$200$500$1K$2K$5K$10Kfacility $2,344professional $339

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
$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

Where Kansas 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

Kansas· 20th of 51

$2,683

$339 physician + $2,344 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.