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Upper Endoscopy With Growth Removal By Cautery

Maine 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 $525 · 10th–90th $178$3,8900%10%20%10th90th$525Professionalmedian $427 · 10th–90th $186$1,0720%5%10%10th90th$427$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
$177.83
Median
$524.81
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$239.88
Typical High
$524.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$398.11
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$398.11
Typical High
$977.24
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$537.03
Typical High
$1,258.93
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$524.81
Typical High
$3,890.45
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$251.19
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$436.52
Typical High
$1,000.00