go back

Upper Endoscopy With Growth Removal By Cautery

North Dakota 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?

$863

Typical total for the visit. In North Dakota, July 2026.

Insurers have agreed to pay about $863 for this procedure. That total is two separate charges: $427 to the doctor who performs it, and $437 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$427$263 to $851
Facility feeThe hospital or surgery center$437$170 to $537

How much rates vary

Facilitymedian $437 · 10th to 90th $155 to $2,512Professionalmedian $427 · 10th to 90th $170 to $1,023
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $437professional $427

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
$436.52
Typical High
$2,511.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$257.04
Typical High
$741.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$478.63
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$501.19
Typical High
$1,202.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$436.52
Typical High
$812.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$676.08
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$2,398.83
Typical High
$3,801.89
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$354.81
Typical High
$933.25

Where North Dakota sits

The same service costs 10.1 times more in Indiana than in Montana. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeNorth Dakota $863 · 45th of 51
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.