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Upper Endoscopy With Growth Removal By Cautery

Oklahoma 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?

$3,150

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

Insurers have agreed to pay about $3,150 for this procedure. That total is two separate charges: $331 to the doctor who performs it, and $2,818 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$331$182 to $490
Facility feeThe hospital or surgery center$2,818$1,000 to $4,467

How much rates vary

Facilitymedian $2,818 · 10th to 90th $407 to $6,457Professionalmedian $331 · 10th to 90th $166 to $603
$200$500$1K$2K$5K$10Kfacility $2,818professional $331

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
$489.78
Median
$1,513.56
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$263.03
Typical High
$549.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$4,168.69
Typical High
$7,079.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$436.52
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$616.60
Medica
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$436.52
Typical High
$2,884.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$467.74
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$1,995.26
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$269.15
Typical High
$537.03

Where Oklahoma 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

Oklahoma· 15th of 51

$3,150

$331 physician + $2,818 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.