go back

Transnasal Upper Digestive Scope Exam, Diagnostic

Illinois 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.

Rates data updated July 2026.

How much does Transnasal Upper Digestive Scope Exam, Diagnostic cost?

$309

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $1,820 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$295$275 to $331
FacilityA hospital or hospital-owned outpatient department$1,820$1,047 to $3,236

How much rates vary

Facilitymedian $1,820 · 10th to 90th $537 to $5,623Professionalmedian $295 · 10th to 90th $191 to $468
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $1,820professional $295

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
$436.52
Median
$1,621.81
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$288.40
Typical High
$363.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$2,754.23
Typical High
$3,311.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$588.84
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$346.74
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$199.53
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,511.89
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$2,089.30
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$407.38
Typical High
$645.65

Where Illinois sits

The same service costs 10.7 times more in California than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $309 · 23rd of 51
CA $1,905KY $178

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.