go back

Upper Digestive Endoscopy With Growth Removal

Illinois 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?

$2,952

Typical total for the visit. In Illinois, July 2026.

Insurers have agreed to pay about $2,952 for this procedure. That total is two separate charges: $661 to the doctor who performs it, and $2,291 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$661$263 to $912
Facility feeThe hospital or surgery center$2,291$1,175 to $5,754

How much rates vary

Facilitymedian $2,291 · 10th to 90th $501 to $7,762Professionalmedian $661 · 10th to 90th $224 to $1,318
$50.0$200.0$1.0K$5.0K$20.0Kfacility $2,291professional $661

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
$426.58
Median
$2,137.96
Typical High
$8,128.31
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$112.20
Median
$281.84
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$630.96
Typical High
$1,318.26
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$194.98
Typical High
$1,047.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$2,691.53
Typical High
$3,890.45
BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$707.95
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$4,570.88
Typical High
$10,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$524.81
Typical High
$1,288.25
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$1,122.02
Typical High
$2,290.87
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$281.84
Typical High
$933.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,089.30
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$602.56
Typical High
$1,288.25

Where Illinois sits

The same service costs 5.0 times more in New Jersey than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeIllinois $2,952 · 27th of 50
NJ $6,657ND $1,327

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.