Upper Endoscopy With Full Ultrasound Survey

Nationwide rates for HCPCS 43259

A flexible camera with an ultrasound probe on its tip is passed through the mouth to inspect the food pipe, stomach and first part of the small intestine, and to see through their walls into nearby structures such as the pancreas, bile duct and lymph nodes. The ultrasound survey covers the whole upper tract rather than a single area, which is why it is used for staging and for sorting out unexplained findings. No tissue sample is taken as part of it.

Rates data updated July 2026.

How much does Upper Endoscopy With Full Ultrasound Survey cost?

$3,933

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $3,933 for this procedure. That total is two separate charges: $302 to the doctor who performs it, and $3,631 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

8% physician fee92% facility fee

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 61 insurance carriers under federal price transparency rules.

What's inside this number

Part of the bill	Who charges it	Typical	Range
Physician feeThe doctor who performs it	The doctor who performs it	$302	$224 to $479
Facility feeThe hospital or surgery center	The hospital or surgery center	$3,631	$1,230 to $6,166

How much rates vary

Facilitymedian $3,631 · 10th to 90th $355 to $8,913Professionalmedian $302 · 10th to 90th $200 to $1,122

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $524.81 Median $3,801.89 Typical High $9,120.11	Facility	Global	$524.81	$3,801.89	$9,120.11
BCBS Setting Facility Modifier Global Typical Low $2,187.76 Median $5,248.07 Typical High $10,964.78	Facility	Global	$2,187.76	$5,248.07	$10,964.78
Cigna Setting Facility Modifier Global Typical Low $354.81 Median $758.58 Typical High $2,137.96	Facility	Global	$354.81	$758.58	$2,137.96
United Setting Facility Modifier Global Typical Low $645.65 Median $2,511.89 Typical High $6,025.60	Facility	Global	$645.65	$2,511.89	$6,025.60

What it costs in each state

The same service costs 8.1 times more in Nebraska 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.

NE $6,703VA $831

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.