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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.

Facilitymedian $355 · 10th–90th $234$8710%20%10th90th$355Professionalmedian $288 · 10th–90th $162$8510%20%10th90th$288$100.0$500.0$2.0K$10.0K$50.0K

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
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