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Transnasal Upper Digestive Scope Exam With Biopsy

Illinois 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 $1,862 · 10th–90th $631$5,6230%5%10%10th90th$1,862Professionalmedian $372 · 10th–90th $234$6030%20%10th90th$372$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
$602.56
Median
$1,862.09
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$363.08
Typical High
$467.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$2,754.23
Typical High
$3,311.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$588.84
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$436.52
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$199.53
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,511.89
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$2,089.30
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$512.86
Typical High
$812.83