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Upper Endoscopy With Growth Removal By Cautery

Nebraska 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?

$4,048

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

Insurers have agreed to pay about $4,048 for this procedure. That total is two separate charges: $417 to the doctor who performs it, and $3,631 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$417$204 to $617
Facility feeThe hospital or surgery center$3,631$741 to $7,586

How much rates vary

Facilitymedian $3,631 · 10th to 90th $269 to $13,490Professionalmedian $417 · 10th to 90th $170 to $1,023
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $3,631professional $417

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
$2,344.23
Median
$5,011.87
Typical High
$13,489.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$416.87
Typical High
$1,023.29
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$4,073.80
Typical High
$7,943.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$371.54
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$501.19
Typical High
$1,047.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$389.05
Typical High
$977.24
Medica
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$933.25
Typical High
$3,311.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$831.76
Typical High
$1,202.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$691.83
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$2,630.27
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$398.11
Typical High
$1,071.52

Where Nebraska 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 feeNebraska $4,048 · 9th 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.