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Upper GI Endoscopy With Lesion Removal By Snare

Georgia 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?

$2,938

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

Insurers have agreed to pay about $2,938 for this procedure. That total is two separate charges: $427 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$427$234 to $589
Facility feeThe hospital or surgery center$2,512$1,175 to $4,571

How much rates vary

Facilitymedian $2,512 · 10th to 90th $589 to $6,457Professionalmedian $427 · 10th to 90th $195 to $1,000
$100.0$1.0K$10.0Kfacility $2,512professional $427

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
$512.86
Median
$2,884.03
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$436.52
Typical High
$1,047.13
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$204.17
Typical High
$323.59
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$2,137.96
Typical High
$5,248.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$407.38
Typical High
$891.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$234.42
Typical High
$257.04
CareSource
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$588.84
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$870.96
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$416.87
Typical High
$912.01
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$549.54
Typical High
$1,047.13
Kaiser Permanente
Setting
Professional
Modifier
22 · Increased work
Typical Low
$537.03
Median
$676.08
Typical High
$1,698.24
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$331.13
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$2,137.96
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$389.05
Typical High
$831.76

Where Georgia 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 feeGeorgia $2,938 · 14th 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.