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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 October 2026.

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

$1,413

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

Insurers have agreed to pay about $1,413 for this procedure. That total is two separate charges: $316 to the doctor who performs it, and $1,096 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$316$240 to $575
Facility feeThe hospital or surgery center$1,096$955 to $1,950

How much rates vary

Facilitymedian $1,096 · 10th to 90th $562 to $3,162Professionalmedian $316 · 10th to 90th $178 to $692
$200$500$1K$2K$5Kfacility $1,096professional $316

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$1,513.56
Typical High
$3,467.37
Aetna
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$331.13
Typical High
$616.60
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$120.23
Median
$165.96
Typical High
$309.03
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$47.86
Median
$66.07
Typical High
$123.03
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$181.97
Median
$245.47
Typical High
$457.09
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$36.31
Median
$50.12
Typical High
$93.33
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$23.99
Median
$33.11
Typical High
$61.66
Ambetter
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$1,318.26
Typical High
$3,235.94
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$371.54
Typical High
$691.83
Christus
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$794.33
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$309.03
Typical High
$707.95
United
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$954.99
Typical High
$3,467.37
United
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$309.03
Typical High
$575.44

Where Louisiana sits

The same service costs 5.4 times more in Colorado than in West Virginia. 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· 35th of 51

$1,413

$316 physician + $1,096 facility

CO $4,173WV $767

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.