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Upper Endoscopy With Growth Removal By Cautery

Utah 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?

$4,172

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

Insurers have agreed to pay about $4,172 for this procedure. That total is two separate charges: $282 to the doctor who performs it, and $3,890 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$282$182 to $562
Facility feeThe hospital or surgery center$3,890$3,162 to $5,129

How much rates vary

Facilitymedian $3,890 · 10th to 90th $257 to $8,511Professionalmedian $282 · 10th to 90th $170 to $912
$100$200$500$1K$2K$5Kfacility $3,890professional $282

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
$257.04
Median
$4,168.69
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$257.04
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$354.81
Typical High
$776.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$524.81
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$3,715.35
Typical High
$5,623.41
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$389.05
Typical High
$831.76
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Select Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$398.11
Typical High
$1,230.27
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$562.34
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$3,890.45
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$309.03
Typical High
$645.65

Where Utah 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

Utah· 7th of 51

$4,172

$282 physician + $3,890 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.