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Upper GI Endoscopy With Lesion Removal By Snare

Tennessee 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?

$2,295

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

Insurers have agreed to pay about $2,295 for this procedure. That total is two separate charges: $389 to the doctor who performs it, and $1,905 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$389$219 to $603
Facility feeThe hospital or surgery center$1,905$813 to $3,020

How much rates vary

Facilitymedian $1,905 · 10th to 90th $468 to $3,890Professionalmedian $389 · 10th to 90th $186 to $977
$50$200$1K$5K$20Kfacility $1,905professional $389

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
$269.15
Median
$1,778.28
Typical High
$3,630.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$380.19
Typical High
$933.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$194.98
Typical High
$257.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,818.38
Typical High
$3,801.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$436.52
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$1,047.13
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$398.11
Typical High
$870.96
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$28,840.32
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$4,073.80
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$2,089.30
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$354.81
Typical High
$758.58

Where Tennessee 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

Tennessee· 23rd of 51

$2,295

$389 physician + $1,905 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.