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Upper GI Endoscopy With Lesion Removal By Snare

Vermont 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?

$525

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $525 for this service. Most negotiated rates run $234 to $692.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,884 · 10th to 90th $2,884 to $3,162Professionalmedian $525 · 10th to 90th $219 to $1,096
$200$500$1K$2Kfacility $2,884professional $525

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$524.81
Typical High
$1,096.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$3,162.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$851.14
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$380.19
Typical High
$933.25
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$707.95
Typical High
$1,230.27
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$467.74
Typical High
$1,047.13

Where Vermont sits

The same service costs 2.5 times more in Wyoming than in New Mexico. 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.

Vermont· 6th of 51

$525

WY $759NM $302

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.