go back

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.

Facilitymedian $2,692 · 10th–90th $759$8,3180%5%10%10th90th$2,692Professionalmedian $288 · 10th–90th $200$3630%20%40%10th90th$288$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$2,691.53
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$331.13
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
$1,412.54
Typical High
$1,412.54
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
$1,258.93
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
$537.03
Median
$1,995.26
Typical High
$7,244.36
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$295.12
Typical High
$794.33
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
$2,630.27
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$338.84
Typical High
$549.54