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Upper Endoscopy With Mucosal Resection

Iowa rates for HCPCS 43254

A flexible scope is passed through the mouth into the esophagus, stomach and the first part of the small intestine, and an abnormal patch of the lining is lifted off the wall and removed. Fluid is usually injected underneath first so the patch rises clear of the deeper layers before it is taken. It allows flat growths or early abnormal tissue to be removed without open surgery.

Rates data updated July 2026.

How much does Upper Endoscopy With Mucosal Resection cost?

$1,413

Typical facility fee. In Iowa, July 2026.

Insurers have agreed to pay about $1,413 for this service. Most negotiated rates run $537 to $4,898.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,548 · 10th to 90th $447 to $6,761Professionalmedian $631 · 10th to 90th $251 to $1,096
$200$500$1K$2K$5K$10Kfacility $3,548professional $631

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
$537.03
Median
$3,981.07
Typical High
$7,943.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$776.25
Typical High
$1,202.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$588.84
Typical High
$5,011.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$630.96
Typical High
$1,071.52
Midlands
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$4,466.84
Typical High
$5,495.41

Where Iowa sits

The same service costs 25.1 times more in Indiana than in Delaware. 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.

Iowa· 34th of 51

$1,413

IN $6,761DE $269

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.