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Transnasal Upper Digestive Scope Exam, Diagnostic

Massachusetts 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 $2,291 · 10th–90th $1,000$5,1290%10%10th90th$2,291Professionalmedian $339 · 10th–90th $240$8130%10%20%10th90th$339$100.0$500.0$2.0K$10.0K$50.0K

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
$1,000.00
Median
$2,290.87
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$295.12
Typical High
$331.13
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$3,548.13
Typical High
$5,128.61
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$467.74
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$741.31
Typical High
$1,905.46
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$4,897.79
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$512.86
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$3,162.28
Typical High
$8,511.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$588.84
Typical High
$891.25
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$3,548.13
Typical High
$5,128.61
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$467.74
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$2,691.53
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$489.78
Typical High
$977.24