go back

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.

How much does Upper Endoscopy With Growth Removal By Cautery cost?

$1,016

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

Insurers have agreed to pay about $1,016 for this procedure. That total is two separate charges: $257 to the doctor who performs it, and $759 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$257$178 to $490
Facility feeThe hospital or surgery center$759$447 to $912

How much rates vary

Facilitymedian $759 · 10th to 90th $427 to $1,318Professionalmedian $257 · 10th to 90th $162 to $692
$200$500$1K$2K$5Kfacility $759professional $257

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
$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

Where Maryland 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

Maryland· 39th of 51

$1,016

$257 physician + $759 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.