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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.

Facilitymedian $1,660 · 10th–90th $575$3,8900%5%10th90th$1,660Professionalmedian $331 · 10th–90th $166$6920%5%10%10th90th$331$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
$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