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Transnasal Upper Digestive Scope Exam With Biopsy

Virginia 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 $708 · 10th–90th $380$6,9180%10%10th90th$708Professionalmedian $380 · 10th–90th $229$6030%10%20%10th90th$380$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
$416.87
Median
$3,890.45
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$380.19
Typical High
$602.56
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$245.47
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$794.33
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$389.05
Typical High
$562.34
Medcost
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$416.87
Typical High
$645.65
Sentara
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$489.78
Typical High
$2,137.96
Sentara
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$489.78
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$2,884.03
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$478.63
Typical High
$758.58