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Transnasal Upper Digestive Scope Exam With Biopsy

New York 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 October 2026.

How much does Transnasal Upper Digestive Scope Exam With Biopsy cost?

$389

Typical negotiated rate. In New York, October 2026.

Insurers have agreed to pay about $389 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $3,020 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$380$331 to $468
FacilityA hospital or hospital-owned outpatient department$3,020$1,514 to $4,266

How much rates vary

Facilitymedian $3,020 · 10th to 90th $891 to $6,166Professionalmedian $380 · 10th to 90th $229 to $575
$200$500$1K$2K$5K$10Kfacility $3,020professional $380

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,819.70
Median
$4,786.30
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$467.74
Typical High
$467.74
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$131.83
Median
$234.42
Typical High
$234.42
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$53.70
Median
$93.33
Typical High
$93.33
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$39.81
Median
$70.79
Typical High
$70.79
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$26.30
Median
$46.77
Typical High
$46.77
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$3,162.28
Typical High
$4,897.79
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$239.88
Typical High
$575.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$1,778.28
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Excellus BCBS
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$363.08
Typical High
$588.84
United
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$2,290.87
Typical High
$6,309.57
United
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$354.81
Typical High
$575.44
Univera
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Univera
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$363.08
Typical High
$588.84

Where New York sits

The same service costs 7.1 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New York· 32nd of 51

$389

AK $1,259KY $178

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.