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Upper GI Endoscopy With Lesion Removal By Snare

Idaho 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?

$1,340

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

Insurers have agreed to pay about $1,340 for this procedure. That total is two separate charges: $363 to the doctor who performs it, and $977 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$224 to $692
Facility feeThe hospital or surgery center$977$457 to $3,631

How much rates vary

Facilitymedian $977 · 10th to 90th $275 to $5,370Professionalmedian $363 · 10th to 90th $191 to $1,047
$100$200$500$1K$2K$5Kfacility $977professional $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
$676.08
Median
$2,570.40
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$295.12
Typical High
$1,071.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,659.59
Typical High
$4,466.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$707.95
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$380.19
Typical High
$851.14
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$426.58
Typical High
$1,122.02
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$416.87
Typical High
$1,047.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$501.19
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$3,890.45
Typical High
$6,165.95
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$446.68
Typical High
$1,000.00
Select Health
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,548.82
Typical High
$2,398.83
Select Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$363.08
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$6,165.95
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$380.19
Typical High
$851.14

Where Idaho 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

Idaho· 40th of 51

$1,340

$363 physician + $977 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.