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Transnasal Upper Digestive Scope Exam With Biopsy

Pennsylvania 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 $3,802 · 10th–90th $891$8,3180%10%10th90th$3,802Professionalmedian $372 · 10th–90th $263$4680%20%40%10th90th$372$10.0$50.0$200.0$1.0K$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
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,890.45
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$363.08
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,230.27
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,778.28
Typical High
$1,778.28
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,288.25
Typical High
$1,548.82
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$194.98
Typical High
$501.19
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$3,548.13
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$380.19
Typical High
$1,412.54
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$2,570.40
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$426.58
Typical High
$691.83