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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.

Facilitymedian $2,291 · 10th–90th $617$5,0120%10%10th90th$2,291Professionalmedian $339 · 10th–90th $166$7240%10%10th90th$339$100.0$500.0$2.0K$10.0K

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
$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