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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.

Facilitymedian $1,549 · 10th–90th $195$4,6770%10%10th90th$1,549Professionalmedian $407 · 10th–90th $170$1,1480%10%10th90th$407$100.0$500.0$2.0K$10.0K$50.0K

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
$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