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Upper GI Endoscopy With Lesion Removal By Snare

Florida 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?

$2,875

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

Insurers have agreed to pay about $2,875 for this procedure. That total is two separate charges: $363 to the doctor who performs it, and $2,512 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$363$209 to $537
Facility feeThe hospital or surgery center$2,512$1,230 to $5,754

How much rates vary

Facilitymedian $2,512 · 10th to 90th $741 to $8,710Professionalmedian $363 · 10th to 90th $186 to $851
$50$200$1K$5Kfacility $2,512professional $363

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
$707.95
Median
$2,344.23
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$380.19
Typical High
$870.96
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$194.98
Typical High
$489.78
AvMed
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,995.26
Typical High
$10,471.29
AvMed
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$257.04
Typical High
$562.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$870.96
Typical High
$1,778.28
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
$199.53
Median
$371.54
Typical High
$812.83
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$5,888.44
Typical High
$11,481.54
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$263.03
Typical High
$616.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$147.91
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$3,090.30
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$316.23
Typical High
$758.58
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$275.42
Typical High
$562.34

Where Florida 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

Florida· 16th of 51

$2,875

$363 physician + $2,512 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.