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Transnasal Upper Digestive Scope Exam, Diagnostic

Michigan 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?

$302

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $891 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$263$170 to $380
FacilityA hospital or hospital-owned outpatient department$891$794 to $1,413

How much rates vary

Facilitymedian $891 · 10th to 90th $550 to $2,754Professionalmedian $263 · 10th to 90th $170 to $490
$200$500$1K$2K$5Kfacility $891professional $263

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
$239.88
Median
$2,041.74
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$245.47
Typical High
$295.12
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$120.23
Median
$123.03
Typical High
$147.91
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$47.86
Median
$48.98
Typical High
$58.88
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$36.31
Median
$37.15
Typical High
$43.65
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$23.99
Median
$24.55
Typical High
$29.51
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$794.33
Median
$891.25
Typical High
$2,454.71
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$169.82
Typical High
$169.82
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$602.56
Typical High
$3,235.94
United
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$446.68
Typical High
$524.81

Where Michigan 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.

Michigan· 34th of 51

$302

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.