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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.

Facilitymedian $2,138 · 10th–90th $178$5,2480%10%20%10th90th$2,138Professionalmedian $263 · 10th–90th $166$6920%10%20%10th90th$263$5.0$20.0$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
$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