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Upper Endoscopy With Growth Removal By Cautery

Louisiana 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?

$1,991

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

Insurers have agreed to pay about $1,991 for this procedure. That total is two separate charges: $331 to the doctor who performs it, and $1,660 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$200 to $525
Facility feeThe hospital or surgery center$1,660$933 to $3,020

How much rates vary

Facilitymedian $1,660 · 10th to 90th $575 to $3,890Professionalmedian $331 · 10th to 90th $166 to $692
$200$500$1K$2K$5Kfacility $1,660professional $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
$575.44
Median
$1,513.56
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$331.13
Typical High
$660.69
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,041.74
Typical High
$3,548.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$371.54
Typical High
$691.83
Christus
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$1,096.48
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$724.44
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$363.08
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,698.24
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$316.23
Typical High
$630.96

Where Louisiana 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

Louisiana· 30th of 51

$1,991

$331 physician + $1,660 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.