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Upper Endoscopy With Growth Removal By Cautery

Nevada 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?

$2,401

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

Insurers have agreed to pay about $2,401 for this procedure. That total is two separate charges: $263 to the doctor who performs it, and $2,138 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$263$182 to $490
Facility feeThe hospital or surgery center$2,138$501 to $3,890

How much rates vary

Facilitymedian $2,138 · 10th to 90th $178 to $5,248Professionalmedian $263 · 10th to 90th $166 to $692
$10.0$100.0$1.0K$10.0Kfacility $2,138professional $263

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
$177.83
Median
$2,089.30
Typical High
$4,786.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$257.04
Typical High
$691.83
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$4,073.80
Typical High
$5,888.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$371.54
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$288.40
Typical High
$691.83
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$204.17
Typical High
$724.44
Hometown Health
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$741.31
Select Health
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$446.68
Typical High
$501.19
Select Health
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$141.25
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,071.52
Typical High
$3,630.78
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$288.40
Typical High
$691.83

Where Nevada 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 feeNevada $2,401 · 23rd 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.