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Upper GI Endoscopy With Lesion Removal By Snare

North Carolina 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?

$1,242

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $1,242 for this procedure. That total is two separate charges: $501 to the doctor who performs it, and $741 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$501$269 to $661
Facility feeThe hospital or surgery center$741$331 to $3,020

How much rates vary

Facilitymedian $741 · 10th to 90th $219 to $4,898Professionalmedian $501 · 10th to 90th $195 to $1,122
$50.0$200.0$1.0K$5.0K$20.0Kfacility $741professional $501

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
$281.84
Median
$1,047.13
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$380.19
Typical High
$1,047.13
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$302.00
Typical High
$870.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$501.19
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,000.00
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$407.38
Typical High
$954.99
Medcost
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Medcost
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$363.08
Typical High
$794.33
Medcost
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$1,230.27
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,995.26
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$316.23
Typical High
$724.44
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$28,840.32
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$4,073.80

Where North Carolina 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 feeNorth Carolina $1,242 · 43rd 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.