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Upper GI Endoscopy With Lesion Removal By Snare

Nationwide rates for HCPCS 43251

A doctor passes a thin, flexible scope through the mouth into the esophagus, stomach, or upper small intestine to examine the lining and remove a growth or abnormal tissue using a wire loop device. The tissue is then sent to a lab for testing.

Rates data updated July 2026.

How much does Upper GI Endoscopy With Lesion Removal By Snare cost?

$2,680

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $2,680 for this procedure. That total is two separate charges: $389 to the doctor who performs it, and $2,291 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 76 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$389$219 to $603
Facility feeThe hospital or surgery center$2,291$759 to $4,677

How much rates vary

Facilitymedian $2,291 · 10th to 90th $309 to $7,762Professionalmedian $389 · 10th to 90th $186 to $1,047
$1.0$10.0$100.0$1.0K$10.0K$100.0K$1.0Mfacility $2,291professional $389

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
$436.52
Median
$2,290.87
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$346.74
Typical High
$1,023.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$4,897.79
Typical High
$10,964.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$407.38
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$1,023.29
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$426.58
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$2,511.89
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$354.81
Typical High
$977.24

What it costs in each state

The same service costs 6.9 times more in California than in Montana. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility fee
CA $5,460MT $790

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.