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Upper GI Endoscopy With Lesion Removal By Snare

Montana 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?

$790

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

Insurers have agreed to pay about $790 for this procedure. That total is two separate charges: $288 to the doctor who performs it, and $501 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$288$191 to $537
Facility feeThe hospital or surgery center$501$331 to $871

How much rates vary

Facilitymedian $501 · 10th to 90th $288 to $2,630Professionalmedian $288 · 10th to 90th $117 to $1,000
$100$500$2K$10K$50Kfacility $501professional $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
$1,584.89
Median
$2,951.21
Typical High
$6,309.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$229.09
Typical High
$1,023.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$660.69
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$478.63
Typical High
$977.24
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$416.87
Typical High
$891.25
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$416.87
Typical High
$891.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$407.38
Typical High
$954.99
Providence
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$489.78
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$398.11
Typical High
$891.25

Where Montana 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

Montana· 51st of 51

$790

$288 physician + $501 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.