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Transnasal Upper Digestive Scope Exam, Diagnostic

South Dakota 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?

$295

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $479 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 4 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$295$288 to $407
FacilityA hospital or hospital-owned outpatient department$479$282 to $2,291

How much rates vary

Facilitymedian $479 · 10th to 90th $178 to $4,365Professionalmedian $295 · 10th to 90th $288 to $617
$100.0$200.0$500.0$1.0K$2.0Kfacility $479professional $295

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$295.12
Typical High
$302.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$407.38
Typical High
$758.58
Medica
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$457.09
Typical High
$2,238.72
Midlands
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$416.87
Typical High
$831.76

Where South Dakota 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.

South Dakota $295 · 37th 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.