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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 July 2026.

Facilitymedian $759 · 10th–90th $427$1,3180%10%10th90th$759Professionalmedian $257 · 10th–90th $162$6920%10%10th90th$257$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
$660.69
Median
$831.76
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$263.03
Typical High
$691.83
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$181.97
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$912.01
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$331.13
Typical High
$741.31
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$575.44
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$524.81
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$309.03
Typical High
$758.58
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$537.03
Typical High
$758.58