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Transnasal Upper Digestive Scope Exam, Diagnostic

North Carolina 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 negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $372 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 6 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$417$288 to $692
FacilityA hospital or hospital-owned outpatient department$372$288 to $1,445

How much rates vary

Facilitymedian $372 · 10th to 90th $269 to $5,248Professionalmedian $417 · 10th to 90th $100 to $832
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $372professional $417

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
Facility
Modifier
Global
Typical Low
$288.40
Median
$4,265.80
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$288.40
Typical High
$363.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$524.81
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$891.25
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Medcost
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$302.00
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$2,041.74
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$338.84
Typical High
$575.44
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,754.23

Where North Carolina 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.

North Carolina $407 · 3rd 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.