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Transnasal Upper Digestive Scope Exam With Biopsy

Hawaii 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 $3,890 · 10th–90th $1,514$3,8900%50%10th$3,890Professionalmedian $372 · 10th–90th $263$4680%20%10th90th$372$200.0$500.0$1.0K$2.0K

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
$1,513.56
Median
$3,890.45
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$371.54
Typical High
$467.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$302.00
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$478.63
Typical High
$645.65