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Upper GI Endoscopy With Lesion Removal By Snare

Michigan 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?

$1,437

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

Insurers have agreed to pay about $1,437 for this procedure. That total is two separate charges: $288 to the doctor who performs it, and $1,148 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$288$204 to $525
Facility feeThe hospital or surgery center$1,148$617 to $3,236

How much rates vary

Facilitymedian $1,148 · 10th to 90th $257 to $4,169Professionalmedian $288 · 10th to 90th $182 to $661
$1$10$100$1Kfacility $1,148professional $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
$257.04
Median
$1,148.15
Typical High
$4,168.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$288.40
Typical High
$630.96
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$169.82
Typical High
$323.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$288.40
Typical High
$363.08
CareSource
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$234.42
Typical High
$257.04
CareSource
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$588.84
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$398.11
Typical High
$912.01
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$616.60
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$416.87
Typical High
$794.33
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$776.25
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$2,951.21
Typical High
$6,165.95
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$338.84
Typical High
$724.44

Where Michigan 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

Michigan· 38th of 51

$1,437

$288 physician + $1,148 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.