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Upper GI Endoscopy With Lesion Removal By Snare

North Dakota 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?

$947

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

Insurers have agreed to pay about $947 for this procedure. That total is two separate charges: $457 to the doctor who performs it, and $490 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$457$204 to $933
Facility feeThe hospital or surgery center$490$195 to $2,818

How much rates vary

Facilitymedian $490 · 10th to 90th $47 to $4,786Professionalmedian $457 · 10th to 90th $178 to $1,259
$50$100$200$500$1K$2K$5Kfacility $490professional $457

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
$46.77
Median
$489.78
Typical High
$4,786.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$234.42
Typical High
$1,318.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$549.54
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$512.86
Typical High
$1,318.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$512.86
Typical High
$1,548.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$616.60
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$2,398.83
Typical High
$3,801.89
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$398.11
Typical High
$1,023.29

Where North Dakota 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

North Dakota· 48th of 51

$947

$457 physician + $490 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.