go back

Upper Endoscopy With Growth Removal By Cautery

South Carolina 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 $589 · 10th–90th $200$8,1280%5%10th90th$589Professionalmedian $295 · 10th–90th $166$6170%10%10th90th$295$50.0$200.0$1.0K$5.0K$20.0K

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
$199.53
Median
$5,623.41
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$269.15
Typical High
$616.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,584.89
Typical High
$3,715.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$446.68
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$562.34
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$338.84
Typical High
$891.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$269.15
Typical High
$309.03
Medcost
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$316.23
Typical High
$758.58
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$5,888.44
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$281.84
Typical High
$562.34