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Upper GI Endoscopy With Lesion Removal By Snare

West 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?

$1,380

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

Insurers have agreed to pay about $1,380 for this procedure. That total is two separate charges: $380 to the doctor who performs it, and $1,000 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$380$209 to $468
Facility feeThe hospital or surgery center$1,000$676 to $2,089

How much rates vary

Facilitymedian $1,000 · 10th to 90th $363 to $2,399Professionalmedian $380 · 10th to 90th $182 to $661
$1.0$10.0$100.0$1.0K$10.0Kfacility $1,000professional $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
$426.58
Median
$1,122.02
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$398.11
Typical High
$660.69
CareSource
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$204.17
Typical High
$257.04
CareSource
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$457.09
Typical High
$630.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$457.09
Typical High
$2,630.27
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$5,623.41
Typical High
$10,471.29
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$251.19
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$1,230.27
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$281.84
Typical High
$575.44

Where West 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 feeWest Virginia $1,380 · 39th 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.