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Upper GI Endoscopy With Lesion Removal By Snare

South 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?

$1,302

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

Insurers have agreed to pay about $1,302 for this procedure. That total is two separate charges: $347 to the doctor who performs it, and $955 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$347$229 to $575
Facility feeThe hospital or surgery center$955$363 to $3,631

How much rates vary

Facilitymedian $955 · 10th to 90th $229 to $7,244Professionalmedian $347 · 10th to 90th $186 to $1,000
$1$10$100$1K$10Kfacility $955professional $347

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
$229.09
Median
$3,235.94
Typical High
$9,120.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$346.74
Typical High
$1,071.52
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$239.88
Typical High
$309.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,584.89
Typical High
$3,630.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$478.63
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$562.34
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$389.05
Typical High
$977.24
Medcost
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$302.00
Typical High
$354.81
Medcost
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$363.08
Typical High
$831.76
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$5,888.44
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$331.13
Typical High
$630.96

Where South Carolina 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

South Carolina· 41st of 51

$1,302

$347 physician + $955 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.