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Upper GI Endoscopy With Lesion Removal By Snare

Rhode Island 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?

$3,008

Typical total for the visit. In Rhode Island, July 2026.

Insurers have agreed to pay about $3,008 for this procedure. That total is two separate charges: $316 to the doctor who performs it, and $2,692 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$316$257 to $646
Facility feeThe hospital or surgery center$2,692$1,622 to $4,074

How much rates vary

Facilitymedian $2,692 · 10th to 90th $589 to $5,495Professionalmedian $316 · 10th to 90th $195 to $1,202
$200$500$1K$2K$5Kfacility $2,692professional $316

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
$2,754.23
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$295.12
Typical High
$1,318.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$489.78
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,621.81
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$416.87
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$3,467.37
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$380.19
Typical High
$831.76

Where Rhode Island 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

Rhode Island· 13th of 51

$3,008

$316 physician + $2,692 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.