go back

Upper Endoscopy With Growth Removal By Cautery

Washington 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 $851 · 10th–90th $251$7,2440%5%10%10th90th$851Professionalmedian $389 · 10th–90th $170$1,0230%10%10th90th$389$10.0$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
$338.84
Median
$1,148.15
Typical High
$13,803.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$338.84
Typical High
$1,000.00
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$5,888.44
Typical High
$10,471.29
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$549.54
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$758.58
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$446.68
Typical High
$1,122.02
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$537.03
Typical High
$1,905.46
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$407.38
Typical High
$1,148.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$107.15
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$831.76
Typical High
$891.25
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$630.96
Typical High
$1,230.27
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$616.60
Typical High
$1,122.02
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$5,754.40
Typical High
$10,232.93
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$562.34
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$5,623.41
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$407.38
Typical High
$954.99
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$478.63
Typical High
$724.44