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.

How much does Upper Endoscopy With Growth Removal By Cautery cost?

$884

Typical total for the visit. In South Carolina, July 2026.

Insurers have agreed to pay about $884 for this procedure. That total is two separate charges: $295 to the doctor who performs it, and $589 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$295$195 to $501
Facility feeThe hospital or surgery center$589$269 to $2,692

How much rates vary

Facilitymedian $589 · 10th to 90th $200 to $8,128Professionalmedian $295 · 10th to 90th $166 to $617
$200$500$1K$2K$5K$10K$20Kfacility $589professional $295

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
$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

Where South Carolina 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

South Carolina· 43rd of 51

$884

$295 physician + $589 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.