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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 July 2026.

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

$407

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $407 for this service. Most negotiated rates run $309 to $631.

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.

How much rates vary

Facilitymedian $692 · 10th to 90th $692 to $3,890Professionalmedian $407 · 10th to 90th $282 to $851
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $692professional $407

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. 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
Global
Typical Low
$281.84
Median
$309.03
Typical High
$363.08
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$234.42
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$537.03
Typical High
$933.25
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$295.12
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$426.58
Typical High
$812.83

Where Maine 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.

Maine $407 · 2nd 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.