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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.

Facilitymedian $562 · 10th–90th $204$1,1750%10%20%10th90th$562Professionalmedian $427 · 10th–90th $178$1,1480%10%10th90th$427$2.0$20.0$200.0$2.0K$20.0K$200.0K

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
$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