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Upper Endoscopy With Growth Removal By Cautery

New Jersey 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 $5,888 · 10th–90th $646$10,2330%5%10%10th90th$5,888Professionalmedian $363 · 10th–90th $155$8910%5%10%10th90th$363$100.0$500.0$2.0K$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
$549.54
Median
$5,888.44
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$323.59
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$371.54
Typical High
$891.25
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$426.58
Typical High
$1,000.00
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$6,309.57
Typical High
$9,549.93
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$436.52
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$4,897.79
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$269.15
Typical High
$776.25