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Upper Endoscopy With Magnified Cell-Level Imaging

Nationwide rates for HCPCS 43252

An examination of the esophagus, stomach and the first part of the small intestine with a thin flexible scope passed through the mouth, using a special lens that magnifies the lining enough to show individual cells while the exam is under way. The live magnified view lets the doctor judge suspicious areas on the spot and decide where to take samples. Sedation is usually given.

Rates data updated July 2026.

How much does Upper Endoscopy With Magnified Cell-Level Imaging cost?

$3,181

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $3,181 for this procedure. That total is two separate charges: $427 to the doctor who performs it, and $2,754 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 55 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$427$229 to $617
Facility feeThe hospital or surgery center$2,754$617 to $5,370

How much rates vary

Facilitymedian $2,754 · 10th to 90th $257 to $9,120Professionalmedian $427 · 10th to 90th $158 to $977
$200$500$1K$2K$5K$10K$20Kfacility $2,754professional $427

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
$354.81
Median
$3,090.30
Typical High
$8,912.51
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$4,897.79
Typical High
$13,489.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$1,000.00
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$2,511.89
Typical High
$6,165.95

What it costs in each state

The same service costs 7.1 times more in Wisconsin than in Virginia. 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

Touch or drag across the chart to see any state's rate.

WI $6,173VA $874

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.