go back

Transnasal Upper Digestive Scope Exam With Biopsy

Indiana 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 $4,467 · 10th–90th $2,089$8,3180%10%10th90th$4,467Professionalmedian $347 · 10th–90th $186$4680%10%20%10th90th$347$100.0$500.0$2.0K$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
$933.25
Median
$4,897.79
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$363.08
Typical High
$436.52
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,365.16
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$186.21
Typical High
$288.40
CareSource
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$575.44
Typical High
$8,317.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$245.47
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$3,630.78
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$446.68
Typical High
$707.95