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Upper Endoscopy With Growth Removal By Cautery

Rhode Island 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?

$3,000

Typical total for the visit. In Rhode Island, July 2026.

Insurers have agreed to pay about $3,000 for this procedure. That total is two separate charges: $245 to the doctor who performs it, and $2,754 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$245$200 to $479
Facility feeThe hospital or surgery center$2,754$1,862 to $4,074

How much rates vary

Facilitymedian $2,754 · 10th to 90th $794 to $5,012Professionalmedian $245 · 10th to 90th $170 to $692
$200.0$500.0$1.0K$2.0K$5.0Kfacility $2,754professional $245

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
$2,089.30
Median
$2,754.23
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$245.47
Typical High
$691.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$426.58
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$371.54
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$3,467.37
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$331.13
Typical High
$707.95

Where Rhode Island 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 feeRhode Island $3,000 · 18th 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.