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Transnasal Upper Digestive Scope Exam With Biopsy

Missouri 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 $2,291 · 10th–90th $372$5,6230%5%10%10th90th$2,291Professionalmedian $372 · 10th–90th $245$7080%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
$1,096.48
Median
$2,951.21
Typical High
$6,309.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$363.08
Typical High
$602.56
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$363.08
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$3,801.89
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Medica
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$478.63
Typical High
$2,454.71
Medica
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$549.54
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,621.81
Typical High
$3,090.30
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$478.63
Typical High
$776.25