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Upper Endoscopy With Growth Removal By Cautery

Montana 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?

$643

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

Insurers have agreed to pay about $643 for this procedure. That total is two separate charges: $288 to the doctor who performs it, and $355 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$288$178 to $490
Facility feeThe hospital or surgery center$355$288 to $759

How much rates vary

Facilitymedian $355 · 10th to 90th $234 to $871Professionalmedian $288 · 10th to 90th $162 to $851
$100$500$2K$10K$50Kfacility $355professional $288

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
Professional
Modifier
Global
Typical Low
$162.18
Median
$194.98
Typical High
$851.14
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$436.52
Typical High
$891.25
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$354.81
Typical High
$812.83
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$354.81
Typical High
$812.83
Providence
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$354.81
Typical High
$870.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$426.58
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$346.74
Typical High
$812.83

Where Montana 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

Montana· 51st of 51

$643

$288 physician + $355 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.