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Upper GI Endoscopy With Lesion Removal By Snare

Oregon 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?

$1,182

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

Insurers have agreed to pay about $1,182 for this procedure. That total is two separate charges: $457 to the doctor who performs it, and $724 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$457$275 to $955
Facility feeThe hospital or surgery center$724$389 to $977

How much rates vary

Facilitymedian $724 · 10th to 90th $240 to $2,884Professionalmedian $457 · 10th to 90th $191 to $1,202
$100$200$500$1K$2K$5Kfacility $724professional $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
$489.78
Median
$2,818.38
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$363.08
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$501.19
Typical High
$1,230.27
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$537.03
Typical High
$1,288.25
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$457.09
Typical High
$933.25
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$478.63
Typical High
$1,230.27
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$912.01
Typical High
$1,000.00
Providence
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$436.52
Typical High
$1,000.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$489.78
Typical High
$1,258.93
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$6,165.95
Typical High
$7,585.78
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$758.58
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$5,128.61
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$524.81
Typical High
$1,230.27

Where Oregon 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

Oregon· 45th of 51

$1,182

$457 physician + $724 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.