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Upper GI Endoscopy With Lesion Removal By Snare

Washington, DC 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 October 2026.

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

$234

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $234 for this service. Most negotiated rates run $200 to $525.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,138 · 10th to 90th $501 to $16,218Professionalmedian $224 · 10th to 90th $186 to $603
$200$500$1K$2K$5K$10K$20Kfacility $2,138professional $224

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$1,698.24
Typical High
$4,786.30
Aetna
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$457.09
Typical High
$602.56
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$112.20
Median
$117.49
Typical High
$302.00
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$44.67
Median
$46.77
Typical High
$120.23
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$165.96
Median
$177.83
Typical High
$457.09
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$33.11
Median
$35.48
Typical High
$91.20
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$22.39
Median
$23.44
Typical High
$60.26
CareFirst
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$208.93
Typical High
$275.42
Cigna
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$436.52
Typical High
$562.34
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$602.56
Typical High
$1,148.15
United
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$2,511.89
Typical High
$27,542.29
United
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$371.54
Typical High
$933.25

Where Washington, DC sits

The same service costs 4.5 times more in Alaska than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Washington, DC· 51st of 51

$234

AK $1,047DC $234

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.