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Transnasal Upper Digestive Scope Exam, Diagnostic

Maryland 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?

$316

Typical physician fee. In Maryland, October 2026.

Insurers have agreed to pay about $316 for this service. Most negotiated rates run $295 to $398.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $832 · 10th to 90th $479 to $1,549Professionalmedian $309 · 10th to 90th $263 to $468
$200$500$1K$2Kfacility $832professional $309

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
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$316.23
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$147.91
Median
$147.91
Typical High
$158.49
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$58.88
Median
$58.88
Typical High
$63.10
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$44.67
Median
$44.67
Typical High
$47.86
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$29.51
Median
$29.51
Typical High
$31.62
Cigna
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$912.01
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$1,584.89
Typical High
$1,584.89
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$363.08
Typical High
$524.81
United
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$645.65
Typical High
$1,380.38
United
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$295.12
Typical High
$588.84
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$234.42

Where Maryland 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.

Maryland· 29th of 51

$316

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.