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Upper Endoscopy With Growth Removal By Cautery

Minnesota 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?

$2,021

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

Insurers have agreed to pay about $2,021 for this procedure. That total is two separate charges: $575 to the doctor who performs it, and $1,445 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$575$363 to $1,047
Facility feeThe hospital or surgery center$1,445$589 to $3,467

How much rates vary

Facilitymedian $1,445 · 10th to 90th $240 to $4,898Professionalmedian $575 · 10th to 90th $204 to $1,514
$200$500$1K$2K$5K$10Kfacility $1,445professional $575

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
$154.88
Median
$446.68
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$245.47
Typical High
$691.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$3,715.35
Typical High
$8,709.64
BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$630.96
Typical High
$1,584.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,621.81
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$707.95
Typical High
$1,862.09
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,584.89
Typical High
$3,467.37
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$676.08
Typical High
$1,513.56
Medica
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$457.09
Typical High
$1,288.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$870.96
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,467.37
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$489.78
Typical High
$1,318.26

Where Minnesota 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

Minnesota· 28th of 51

$2,021

$575 physician + $1,445 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.