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Upper Endoscopy With Bleeding Control

Rhode Island rates for HCPCS 43255

During this upper endoscopy, a flexible scope is passed through the mouth to examine the esophagus, stomach, and the first part of the small intestine, and the physician also treats an area of active or recent bleeding found during the exam. Bleeding is controlled using techniques such as cautery, clips, or injected medication delivered through the scope. Combining diagnosis and treatment in a single procedure can avoid the need for a separate follow-up intervention.

Facilitymedian $2,399 · 10th–90th $832$5,0120%20%10th90th$2,399Professionalmedian $398 · 10th–90th $195$1,0470%10%10th90th$398$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,754.23
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$363.08
Typical High
$1,047.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$501.19
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$446.68
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$2,398.83
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$398.11
Typical High
$1,122.02