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Upper Endoscopy With Growth Removal By Cautery

Missouri 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?

$2,002

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

Insurers have agreed to pay about $2,002 for this procedure. That total is two separate charges: $380 to the doctor who performs it, and $1,622 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$380$200 to $525
Facility feeThe hospital or surgery center$1,622$977 to $2,630

How much rates vary

Facilitymedian $1,622 · 10th to 90th $407 to $4,266Professionalmedian $380 · 10th to 90th $170 to $912
$200$500$1K$2K$5Kfacility $1,622professional $380

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
$416.87
Median
$2,511.89
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$407.38
Typical High
$977.24
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,479.11
Typical High
$3,235.94
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$323.59
Typical High
$660.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$489.78
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$2,511.89
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$323.59
Typical High
$758.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$426.58
Typical High
$1,445.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$724.44
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,584.89
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$331.13
Typical High
$741.31

Where Missouri 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

Missouri· 29th of 51

$2,002

$380 physician + $1,622 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.