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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.

Facilitymedian $437 · 10th–90th $155$2,5120%10%20%10th90th$437Professionalmedian $427 · 10th–90th $170$1,0230%10%10th90th$427$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
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