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Upper Endoscopy With Growth Removal By Cautery

Massachusetts 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?

$1,956

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

Insurers have agreed to pay about $1,956 for this procedure. That total is two separate charges: $407 to the doctor who performs it, and $1,549 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$407$195 to $603
Facility feeThe hospital or surgery center$1,549$245 to $3,311

How much rates vary

Facilitymedian $1,549 · 10th to 90th $195 to $4,677Professionalmedian $407 · 10th to 90th $170 to $1,148
$200$500$1K$2K$5K$10K$20Kfacility $1,549professional $407

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
$478.63
Median
$2,754.23
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$257.04
Typical High
$588.84
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$3,090.30
Typical High
$28,840.32
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$436.52
Typical High
$3,162.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$457.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,288.25
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,513.56
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$398.11
Typical High
$1,023.29
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$223.87
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$691.83
Typical High
$1,000.00
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$3,162.28
Typical High
$8,511.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$512.86
Typical High
$1,230.27
Health New England
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,090.30
Typical High
$3,090.30
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$3,090.30
Typical High
$28,840.32
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$436.52
Typical High
$3,162.28
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$2,951.21
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$426.58
Typical High
$1,318.26

Where Massachusetts 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

Massachusetts· 32nd of 51

$1,956

$407 physician + $1,549 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.