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Upper GI Endoscopy With Lesion Removal By Snare

Iowa 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?

$2,067

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

Insurers have agreed to pay about $2,067 for this procedure. That total is two separate charges: $407 to the doctor who performs it, and $1,660 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$407$219 to $832
Facility feeThe hospital or surgery center$1,660$724 to $3,631

How much rates vary

Facilitymedian $1,660 · 10th to 90th $389 to $5,495Professionalmedian $407 · 10th to 90th $178 to $1,148
$50$200$1K$5Kfacility $1,660professional $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
$501.19
Median
$3,019.95
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$346.74
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$501.19
Typical High
$1,348.96
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$549.54
Typical High
$1,202.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$588.84
Typical High
$4,677.35
Medica
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$831.76
Typical High
$3,630.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$724.44
Typical High
$1,202.26
Midlands
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$524.81
Typical High
$1,380.38
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$426.58
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$4,168.69
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$478.63
Typical High
$1,122.02
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$446.68
Typical High
$1,348.96

Where Iowa 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

Iowa· 31st of 51

$2,067

$407 physician + $1,660 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.