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Upper Endoscopy With Growth Removal By Cautery

Maryland 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?

$214

Typical physician fee. In Maryland, October 2026.

Insurers have agreed to pay about $214 for this service. Most negotiated rates run $174 to $479.

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.

How much rates vary

Facilitymedian $832 · 10th to 90th $427 to $1,549Professionalmedian $200 · 10th to 90th $162 to $550
$200$500$1K$2Kfacility $832professional $200

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
Professional
Modifier
None
Typical Low
$186.21
Median
$363.08
Typical High
$549.54
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$93.33
Median
$114.82
Typical High
$275.42
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$38.02
Median
$45.71
Typical High
$109.65
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$141.25
Median
$173.78
Typical High
$416.87
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$28.18
Median
$34.67
Typical High
$83.18
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$18.62
Median
$22.91
Typical High
$54.95
CareFirst
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$181.97
Typical High
$229.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$912.01
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$371.54
Typical High
$524.81
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$575.44
Typical High
$794.33
United
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$645.65
Typical High
$1,380.38
United
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$251.19
Typical High
$616.60
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$676.08

Where Maryland sits

The same service costs 4.7 times more in Alaska than in Washington, DC. 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.

Maryland· 49th of 51

$214

AK $912DC $195

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.