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Upper Endoscopy With Growth Removal By Cautery

Wyoming 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 $1,905 · 10th–90th $1,288$5,6230%20%40%10th90th$1,905Professionalmedian $437 · 10th–90th $170$1,8200%10%10th90th$437$200.0$500.0$1.0K$2.0K$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$229.09
Typical High
$691.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$812.83
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$457.09
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$3,890.45
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$371.54
Typical High
$912.01