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Transnasal Upper Digestive Scope Exam, Diagnostic

Maine 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?

$288

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $1,259 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$288$234 to $407
FacilityA hospital or hospital-owned outpatient department$1,259$1,000 to $1,380

How much rates vary

Facilitymedian $1,259 · 10th to 90th $708 to $2,344Professionalmedian $288 · 10th to 90th $204 to $537
$200$500$1K$2Kfacility $1,259professional $288

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$309.03
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$144.54
Median
$144.54
Typical High
$154.88
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$57.54
Median
$57.54
Typical High
$61.66
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$43.65
Median
$43.65
Typical High
$46.77
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$28.84
Median
$28.84
Typical High
$30.90
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$234.42
Typical High
$269.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$1,202.26
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$1,258.93
Typical High
$1,584.89
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$416.87
Typical High
$630.96
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$302.00
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$144.54
Median
$144.54
Typical High
$151.36
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$57.54
Median
$57.54
Typical High
$60.26
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$43.65
Median
$43.65
Typical High
$45.71
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$28.84
Median
$28.84
Typical High
$30.20
United
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$1,258.93
Typical High
$1,584.89
United
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$407.38
Typical High
$645.65

Where Maine 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.

Maine· 43rd of 51

$288

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.