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Upper GI Endoscopy With Lesion Removal By Snare

Virginia 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?

$1,212

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

Insurers have agreed to pay about $1,212 for this procedure. That total is two separate charges: $380 to the doctor who performs it, and $832 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$380$224 to $589
Facility feeThe hospital or surgery center$832$324 to $2,570

How much rates vary

Facilitymedian $832 · 10th to 90th $224 to $4,786Professionalmedian $380 · 10th to 90th $191 to $891
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $832professional $380

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
$363.08
Median
$1,348.96
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$371.54
Typical High
$912.01
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$446.68
Typical High
$812.83
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$208.93
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$794.33
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$363.08
Typical High
$812.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$645.65
Typical High
$1,096.48
Medcost
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$302.00
Typical High
$741.31
Medcost
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$380.19
Typical High
$831.76
Medcost
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$446.68
Sentara
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$257.04
Typical High
$851.14
Sentara
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$562.34
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$2,884.03
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$323.59
Typical High
$758.58

Where Virginia sits

The same service costs 6.9 times more in California than in Montana. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeVirginia $1,212 · 44th of 51
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.