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Upper Endoscopy With Growth Removal By Cautery

Kentucky 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 $2,399 · 10th–90th $537$5,4950%5%10%10th90th$2,399Professionalmedian $234 · 10th–90th $162$5500%10%10th90th$234$50.0$100.0$200.0$500.0$1.0K$2.0K$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
$208.93
Median
$794.33
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$245.47
Typical High
$549.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$2,884.03
Typical High
$6,309.57
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$190.55
Typical High
$436.52
CareSource
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$177.83
Typical High
$251.19
CareSource
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$194.98
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$389.05
Typical High
$2,398.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,445.44
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$281.84
Typical High
$616.60