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Upper GI Endoscopy With Lesion Removal By Snare

Utah 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?

$3,231

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

Insurers have agreed to pay about $3,231 for this procedure. That total is two separate charges: $347 to the doctor who performs it, and $2,884 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$204 to $724
Facility feeThe hospital or surgery center$2,884$1,023 to $3,890

How much rates vary

Facilitymedian $2,884 · 10th to 90th $676 to $4,571Professionalmedian $347 · 10th to 90th $174 to $1,202
$50$100$200$500$1K$2K$5Kfacility $2,884professional $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
$676.08
Median
$2,691.53
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$331.13
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$371.54
Typical High
$851.14
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$602.56
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$3,715.35
Typical High
$5,623.41
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$446.68
Typical High
$933.25
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Select Health
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$457.09
Typical High
$1,348.96
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$588.84
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$3,890.45
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$354.81
Typical High
$707.95

Where Utah 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

Utah· 12th of 51

$3,231

$347 physician + $2,884 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.