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Upper GI Endoscopy With Lesion Removal By Snare

Massachusetts 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?

$2,127

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

Insurers have agreed to pay about $2,127 for this procedure. That total is two separate charges: $468 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$468$240 to $813
Facility feeThe hospital or surgery center$1,660$372 to $3,090

How much rates vary

Facilitymedian $1,660 · 10th to 90th $224 to $4,074Professionalmedian $468 · 10th to 90th $195 to $1,230
$100$500$2K$10Kfacility $1,660professional $468

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
$524.81
Median
$2,511.89
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$354.81
Typical High
$1,023.29
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$3,090.30
Typical High
$28,840.32
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$489.78
Typical High
$3,467.37
BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$524.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$588.84
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,584.89
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$436.52
Typical High
$1,122.02
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$251.19
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$758.58
Typical High
$1,096.48
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$3,162.28
Typical High
$8,511.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$562.34
Typical High
$1,348.96
Health New England
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,949.84
Typical High
$4,466.84
Health New England
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$398.11
Typical High
$645.65
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$3,090.30
Typical High
$28,840.32
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$489.78
Typical High
$3,467.37
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$2,951.21
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$489.78
Typical High
$1,445.44

Where Massachusetts 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

Massachusetts· 30th of 51

$2,127

$468 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.