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Transnasal Upper Digestive Scope Exam, Diagnostic

Pennsylvania 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?

$309

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $2,692 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 7 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$288$257 to $324
FacilityA hospital or hospital-owned outpatient department$2,692$1,514 to $5,370

How much rates vary

Facilitymedian $2,692 · 10th to 90th $617 to $8,318Professionalmedian $288 · 10th to 90th $204 to $363
$200$500$1K$2K$5K$10Kfacility $2,692professional $288

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
$660.69
Median
$2,691.53
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$288.40
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,288.25
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$1,584.89
Typical High
$1,584.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,288.25
Typical High
$1,548.82
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$169.82
Typical High
$389.05
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$2,454.71
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$295.12
Typical High
$1,230.27
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$2,570.40
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$338.84
Typical High
$549.54

Where Pennsylvania sits

The same service costs 10.7 times more in California 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.

Pennsylvania· 22nd of 51

$309

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.