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Upper GI Endoscopy With Lesion Removal By Snare

Kentucky 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?

$2,579

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

Insurers have agreed to pay about $2,579 for this procedure. That total is two separate charges: $288 to the doctor who performs it, and $2,291 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$288$209 to $501
Facility feeThe hospital or surgery center$2,291$933 to $3,802

How much rates vary

Facilitymedian $2,291 · 10th to 90th $309 to $5,495Professionalmedian $288 · 10th to 90th $182 to $759
$100$200$500$1K$2K$5Kfacility $2,291professional $288

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
$288.40
Median
$954.99
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$309.03
Typical High
$891.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$165.96
Typical High
$302.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$2,884.03
Typical High
$5,888.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$223.87
Typical High
$501.19
CareSource
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$223.87
Typical High
$288.40
CareSource
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$489.78
Typical High
$630.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$1,659.59
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
$436.52
Typical High
$2,630.27
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,445.44
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$331.13
Typical High
$676.08

Where Kentucky 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

Kentucky· 20th of 51

$2,579

$288 physician + $2,291 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.