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Upper Endoscopy With Growth Removal By Cautery

Tennessee 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?

$2,630

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

Insurers have agreed to pay about $2,630 for this procedure. That total is two separate charges: $339 to the doctor who performs it, and $2,291 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$339$186 to $525
Facility feeThe hospital or surgery center$2,291$1,445 to $3,311

How much rates vary

Facilitymedian $2,291 · 10th to 90th $617 to $5,012Professionalmedian $339 · 10th to 90th $166 to $724
$200$500$1K$2K$5K$10K$20Kfacility $2,291professional $339

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
$616.60
Median
$1,905.46
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$302.00
Typical High
$676.08
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$112.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,818.38
Typical High
$3,801.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$380.19
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$1,047.13
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$346.74
Typical High
$776.25
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$28,840.32
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,715.35
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$2,137.96
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$316.23
Typical High
$691.83

Where Tennessee 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

Tennessee· 22nd of 51

$2,630

$339 physician + $2,291 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.