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Transnasal Upper Digestive Scope Exam, Diagnostic

Washington, DC rates for HCPCS 0652T

An exam of the esophagus, stomach, and duodenum (the first part of the small intestine) using a thin flexible scope passed through the nose, done for diagnosis. Collection of a specimen, when performed, is included; an exam that adds biopsy is a separate service.

Facilitymedian $3,162 · 10th–90th $316$7,7620%20%10th90th$3,162Professionalmedian $295 · 10th–90th $195$3390%20%10th90th$295$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$316.23
Median
$3,162.28
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$295.12
Typical High
$331.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$363.08
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$6,606.93
Typical High
$25,118.86
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$323.59
Typical High
$660.69