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Upper GI Endoscopy With Lesion Removal By Snare

New Jersey 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?

$4,874

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $4,874 for this procedure. That total is two separate charges: $407 to the doctor who performs it, and $4,467 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$407$204 to $562
Facility feeThe hospital or surgery center$4,467$2,399 to $6,761

How much rates vary

Facilitymedian $4,467 · 10th to 90th $912 to $8,511Professionalmedian $407 · 10th to 90th $178 to $1,000
$100$200$500$1K$2K$5K$10Kfacility $4,467professional $407

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
$912.01
Median
$4,466.84
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$371.54
Typical High
$1,096.48
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$186.21
Typical High
$263.03
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$8,317.64
Typical High
$14,125.38
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$251.19
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$407.38
Typical High
$1,000.00
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$575.44
Typical High
$1,122.02
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$6,309.57
Typical High
$9,549.93
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$478.63
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$4,897.79
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$316.23
Typical High
$831.76

Where New Jersey 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

New Jersey· 3rd of 51

$4,874

$407 physician + $4,467 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.