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Upper GI Endoscopy With Lesion Removal By Snare

Delaware 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?

$844

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

Insurers have agreed to pay about $844 for this procedure. That total is two separate charges: $282 to the doctor who performs it, and $562 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$282$204 to $525
Facility feeThe hospital or surgery center$562$468 to $2,455

How much rates vary

Facilitymedian $562 · 10th to 90th $178 to $4,786Professionalmedian $282 · 10th to 90th $191 to $617
$200$500$1K$2K$5K$10Kfacility $562professional $282

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
$177.83
Median
$562.34
Typical High
$4,786.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$245.47
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$354.81
Typical High
$912.01
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,862.09
Typical High
$9,549.93
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$316.23
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$204.17
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$281.84
Typical High
$660.69

Where Delaware sits

The same service costs 6.9 times more in California than in Montana. 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.

Physician feeFacility fee

Delaware· 50th of 51

$844

$282 physician + $562 facility

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.