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Transnasal Upper Digestive Scope Exam With Biopsy

Michigan 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 $3,090 · 10th–90th $363$5,0120%20%10th90th$3,090Professionalmedian $363 · 10th–90th $191$4680%20%10th90th$363$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
$363.08
Median
$4,073.80
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$363.08
Typical High
$436.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$190.55
Typical High
$199.53
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$2,884.03
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$363.08
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$3,090.30
Typical High
$6,165.95
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$501.19
Typical High
$724.44