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Upper GI Endoscopy With Lesion Removal By Snare

Indiana 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?

$4,814

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

Insurers have agreed to pay about $4,814 for this procedure. That total is two separate charges: $347 to the doctor who performs it, and $4,467 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$347$209 to $513
Facility feeThe hospital or surgery center$4,467$933 to $7,079

How much rates vary

Facilitymedian $4,467 · 10th to 90th $309 to $9,550Professionalmedian $347 · 10th to 90th $186 to $676
$100$200$500$1K$2K$5K$10Kfacility $4,467professional $347

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
$281.84
Median
$2,187.76
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$331.13
Typical High
$676.08
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$165.96
Typical High
$223.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$8,128.31
Typical High
$10,471.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$407.38
Typical High
$660.69
CareSource
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$229.09
Typical High
$251.19
CareSource
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$537.03
Typical High
$630.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$316.23
Typical High
$1,023.29
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
$204.17
Median
$363.08
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$3,467.37
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$316.23
Typical High
$660.69

Where Indiana 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

Indiana· 4th of 51

$4,814

$347 physician + $4,467 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.