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Upper GI Endoscopy With Lesion Removal By Snare

Colorado 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?

$3,643

Typical total for the visit. In Colorado, July 2026.

Insurers have agreed to pay about $3,643 for this procedure. That total is two separate charges: $407 to the doctor who performs it, and $3,236 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$407$209 to $575
Facility feeThe hospital or surgery center$3,236$501 to $5,495

How much rates vary

Facilitymedian $3,236 · 10th to 90th $263 to $7,762Professionalmedian $407 · 10th to 90th $191 to $891
$1.0$10.0$100.0$1.0K$10.0Kfacility $3,236professional $407

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
$346.74
Median
$3,235.94
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$416.87
Typical High
$891.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$6,760.83
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$446.68
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,096.48
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$363.08
Typical High
$870.96
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$371.54
Typical High
$831.76
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$575.44
Typical High
$812.83
Select Health
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$346.74
Typical High
$1,202.26
Select Health
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$229.09
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$3,311.31
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$389.05
Typical High
$851.14

Where Colorado sits

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 feeColorado $3,643 · 9th of 51
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.