go back

Upper Endoscopy With Growth Removal By Cautery

New Hampshire 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 $1,738 · 10th–90th $275$8,7100%10%20%10th90th$1,738Professionalmedian $417 · 10th–90th $178$1,0470%5%10th90th$417$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$100.00
Median
$2,398.83
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$245.47
Typical High
$549.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,737.80
Typical High
$3,019.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$380.19
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$426.58
Typical High
$1,071.52
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$3,890.45
Typical High
$8,709.64
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$524.81
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$3,890.45
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$478.63
Typical High
$1,202.26
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$269.15
Typical High
$562.34