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Upper Endoscopy With Growth Removal By Cautery

Vermont 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?

$204

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $204 for this service. Most negotiated rates run $200 to $525.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,692 · 10th to 90th $2,692 to $3,020Professionalmedian $204 · 10th to 90th $170 to $1,660
$200$500$1K$2K$5Kfacility $2,692professional $204

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$204.17
Typical High
$5,754.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$3,019.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$758.58
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$323.59
Typical High
$851.14
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$645.65
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$416.87
Typical High
$954.99

Where Vermont sits

The same service costs 2.9 times more in Minnesota than in Vermont. 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.

Vermont· 51st of 51

$204

MN $589VT $204

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.