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Transnasal Upper Digestive Scope Exam With Biopsy

Montana 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 $676 · 10th–90th $245$7080%20%40%10th90th$676Professionalmedian $417 · 10th–90th $363$7240%10%20%10th90th$417$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
Professional
Modifier
Global
Typical Low
$346.74
Median
$416.87
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$616.60
Typical High
$616.60
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$707.95
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$707.95
Providence
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$389.05
Typical High
$660.69
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$616.60
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$645.65
Typical High
$812.83