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Upper GI Endoscopy With Lesion Removal By Snare

Maryland 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?

$1,029

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

Insurers have agreed to pay about $1,029 for this procedure. That total is two separate charges: $398 to the doctor who performs it, and $631 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$398$209 to $575
Facility feeThe hospital or surgery center$631$214 to $1,288

How much rates vary

Facilitymedian $631 · 10th to 90th $40 to $3,715Professionalmedian $398 · 10th to 90th $186 to $1,047
$1.0$10.0$100.0$1.0Kfacility $631professional $398

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
$39.81
Median
$630.96
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$416.87
Typical High
$1,071.52
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$208.93
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$912.01
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$371.54
Typical High
$812.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$630.96
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$524.81
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$346.74
Typical High
$851.14
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$575.44
Typical High
$831.76

Where Maryland sits

The same service costs 6.9 times more in California than in Montana. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeMaryland $1,029 · 47th of 51
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.