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Upper Endoscopy With Growth Removal By Cautery

Wisconsin 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 $3,548 · 10th–90th $245$6,1660%5%10%10th90th$3,548Professionalmedian $468 · 10th–90th $170$1,4790%5%10%10th90th$468$50.0$200.0$1.0K$5.0K

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
$181.97
Median
$501.19
Typical High
$3,090.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$407.38
Typical High
$758.58
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,677.35
Typical High
$7,079.46
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$575.44
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,380.38
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$616.60
Typical High
$1,862.09
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$457.09
Typical High
$3,311.31
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$630.96
Typical High
$1,174.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$467.74
Typical High
$4,365.16
Medica
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$851.14
Typical High
$3,311.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$3,890.45
Typical High
$4,570.88
Network Health
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$645.65
Typical High
$1,513.56
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$407.38
Typical High
$724.44
Quartz
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$645.65
Typical High
$1,659.59
Quartz
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$5,011.87
Typical High
$5,011.87
Quartz
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$1,047.13
Typical High
$3,162.28
Security Health
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$1,737.80
Security Health
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$831.76
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$3,630.78
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$446.68
Typical High
$1,318.26