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Upper GI Endoscopy With Lesion Removal By Snare

Maine 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?

$2,228

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

Insurers have agreed to pay about $2,228 for this procedure. That total is two separate charges: $490 to the doctor who performs it, and $1,738 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$490$240 to $676
Facility feeThe hospital or surgery center$1,738$912 to $3,467

How much rates vary

Facilitymedian $1,738 · 10th to 90th $525 to $3,467Professionalmedian $490 · 10th to 90th $209 to $1,202
$100$200$500$1K$2K$5Kfacility $1,738professional $490

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
$575.44
Median
$1,737.80
Typical High
$3,467.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$288.40
Typical High
$602.56
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$501.19
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$457.09
Typical High
$1,071.52
Community Health Options
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Community Health Options
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$288.40
Typical High
$389.05
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$602.56
Typical High
$1,380.38
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$3,162.28
Typical High
$5,011.87
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$407.38
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$489.78
Typical High
$1,122.02

Where Maine 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

Maine· 27th of 51

$2,228

$490 physician + $1,738 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.