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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 October 2026.

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

$347

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $1,660 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$331$191 to $407
FacilityA hospital or hospital-owned outpatient department$1,660$1,072 to $2,512

How much rates vary

Facilitymedian $1,660 · 10th to 90th $708 to $3,890Professionalmedian $331 · 10th to 90th $191 to $575
$200$500$1K$2K$5Kfacility $1,660professional $331

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$380.19
Median
$1,548.82
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$288.40
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$95.50
Median
$95.50
Typical High
$144.54
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$38.02
Median
$38.02
Typical High
$57.54
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$28.18
Median
$28.18
Typical High
$43.65
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$19.05
Median
$19.05
Typical High
$28.84
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$1,348.96
Median
$1,862.09
Typical High
$2,884.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$1,659.59
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$380.19
Hally Health
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$125.89
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
None
Typical Low
$1,513.56
Median
$2,511.89
Typical High
$2,511.89
United
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$1,513.56
Typical High
$4,365.16
United
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$380.19
Typical High
$602.56

Where Illinois sits

The same service costs 7.1 times more in Alaska than in Kentucky. 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.

Illinois· 23rd of 51

$347

AK $1,122KY $158

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.