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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.

How much does Upper Endoscopy With Growth Removal By Cautery cost?

$758

Typical total for the visit. In New Mexico, July 2026.

Insurers have agreed to pay about $758 for this procedure. That total is two separate charges: $245 to the doctor who performs it, and $513 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$245$182 to $513
Facility feeThe hospital or surgery center$513$251 to $1,175

How much rates vary

Facilitymedian $513 · 10th to 90th $191 to $3,802Professionalmedian $245 · 10th to 90th $166 to $646
$50$100$200$500$1K$2K$5Kfacility $513professional $245

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
$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

Where New Mexico sits

The same service costs 10.1 times more in Indiana than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

New Mexico· 49th of 51

$758

$245 physician + $513 facility

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.