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Upper Digestive Endoscopy With Growth Removal

Maine 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?

$4,407

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

Insurers have agreed to pay about $4,407 for this procedure. That total is two separate charges: $692 to the doctor who performs it, and $3,715 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$692$282 to $1,000
Facility feeThe hospital or surgery center$3,715$871 to $3,715

How much rates vary

Facilitymedian $3,715 · 10th to 90th $661 to $3,715Professionalmedian $692 · 10th to 90th $240 to $1,778
$200.0$500.0$1.0K$2.0K$5.0Kfacility $3,715professional $692

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
$660.69
Median
$3,715.35
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$602.56
Typical High
$933.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$660.69
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$524.81
Typical High
$1,584.89
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$812.83
Typical High
$2,041.74
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$691.83
Typical High
$3,715.35
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$549.54
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$741.31
Typical High
$1,659.59

Where Maine 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 feeMaine $4,407 · 14th 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.