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Transnasal Upper Digestive Scope Exam, Diagnostic

Montana 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?

$347

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $324 from a physician practice, and about $525 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$324$288 to $479
FacilityA hospital or hospital-owned outpatient department$525$331 to $525

How much rates vary

Facilitymedian $525 · 10th to 90th $224 to $550Professionalmedian $324 · 10th to 90th $282 to $525
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $525professional $324

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$309.03
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$478.63
Typical High
$478.63
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$549.54
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$549.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$331.13
Typical High
$549.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$478.63
Typical High
$549.54
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
$380.19
Median
$501.19
Typical High
$630.96

Where Montana 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.

Montana $347 · 9th 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.