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Upper Endoscopy With Growth Removal By Cautery

Oregon 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?

$989

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

Insurers have agreed to pay about $989 for this procedure. That total is two separate charges: $427 to the doctor who performs it, and $562 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$427$288 to $851
Facility feeThe hospital or surgery center$562$316 to $871

How much rates vary

Facilitymedian $562 · 10th to 90th $204 to $1,175Professionalmedian $427 · 10th to 90th $178 to $1,148
$100$200$500$1K$2K$5Kfacility $562professional $427

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
$426.58
Median
$2,511.89
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$416.87
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$436.52
Typical High
$1,122.02
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$457.09
Typical High
$1,174.90
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$398.11
Typical High
$851.14
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$407.38
Typical High
$1,122.02
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$831.76
Typical High
$891.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$380.19
Typical High
$912.01
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$436.52
Typical High
$1,148.15
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$6,165.95
Typical High
$7,585.78
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$549.54
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$5,128.61
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$467.74
Typical High
$1,096.48

Where Oregon 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

Oregon· 41st of 51

$989

$427 physician + $562 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.