go back

Upper Endoscopy With Growth Removal By Cautery

New Mexico 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 $513 · 10th–90th $191$3,8020%5%10th90th$513Professionalmedian $245 · 10th–90th $166$6460%10%10th90th$245$50.0$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
$239.88
Median
$776.25
Typical High
$5,011.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$245.47
Typical High
$741.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$2,951.21
Typical High
$4,897.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$234.42
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$309.03
Typical High
$741.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$616.60
Providence
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$331.13
Typical High
$758.58
Providence
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$354.81
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$3,630.78
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$316.23
Typical High
$776.25