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Transnasal Upper Digestive Scope Exam With Biopsy

Arizona rates for HCPCS 0653T

An exam of the esophagus, stomach, and duodenum (the first part of the small intestine) using a thin flexible scope passed through the nose. One or more tissue samples are taken during the exam and are included in the service.

Rates data updated July 2026.

Facilitymedian $2,239 · 10th–90th $490$6,6070%5%10%10th90th$2,239Professionalmedian $380 · 10th–90th $257$6030%20%10th90th$380$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$1,318.26
Median
$3,090.30
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$380.19
Typical High
$524.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,698.24
Typical High
$3,311.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$229.09
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$977.24
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Medica
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$588.84
Typical High
$2,454.71
Medica
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$489.78
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,659.59
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$436.52
Typical High
$724.44