go back

Upper Digestive Endoscopy With Growth Removal

Washington, DC rates for HCPCS 43270

This is an endoscopy in which a thin, flexible scope with a camera is passed through the mouth into the esophagus, stomach, and upper small intestine, during which a growth such as a polyp or lesion is removed by destroying the tissue with a tool such as heat or laser passed through the scope. It combines diagnostic viewing of the upper digestive tract with removal of the growth in the same procedure.

Rates data updated July 2026.

How much does Upper Digestive Endoscopy With Growth Removal cost?

$692

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $692 for this service. Most negotiated rates run $251 to $912.

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.

How much rates vary

Facilitymedian $3,090 · 10th to 90th $562 to $6,607Professionalmedian $617 · 10th to 90th $224 to $933
$200$500$1K$2K$5K$10Kfacility $3,090professional $617

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
$562.34
Median
$3,090.30
Typical High
$6,456.54
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$125.89
Median
$125.89
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$616.60
Typical High
$912.01
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$239.88
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$602.56
Typical High
$1,584.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$933.25
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$3,890.45
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$588.84
Typical High
$1,479.11

Where Washington, DC sits

The same service costs 1.7 times more in California than in Michigan. 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.

Washington, DC· 25th of 51

$692

CA $912MI $537

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.