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Upper Endoscopy With Growth Removal By Cautery

Texas 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 $1,259 · 10th–90th $209$5,1290%5%10th90th$1,259Professionalmedian $302 · 10th–90th $158$6610%10%10th90th$302$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
$616.60
Median
$2,754.23
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$275.42
Typical High
$660.69
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$112.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,511.89
Typical High
$4,677.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$323.59
Typical High
$549.54
Christus
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$1,096.48
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,202.26
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$331.13
Typical High
$741.31
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$28,840.32
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$338.84
Typical High
$758.58
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$549.54
Typical High
$912.01
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$380.19
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$251.19
Providence
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$338.84
Typical High
$776.25
Providence
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$363.08
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$2,041.74
Typical High
$4,073.80
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$275.42
Typical High
$588.84
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$478.63
Typical High
$676.08