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Transnasal Upper Digestive Scope Exam With Biopsy

Washington 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 $3,020 · 10th–90th $617$10,7150%5%10%10th90th$3,020Professionalmedian $417 · 10th–90th $339$7940%20%10th90th$417$50.0$200.0$1.0K$5.0K$20.0K

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
$616.60
Median
$6,456.54
Typical High
$18,620.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$380.19
Typical High
$467.74
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$5,888.44
Typical High
$10,471.29
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$707.95
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$870.96
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$1,778.28
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,238.72
Typical High
$3,801.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$60.26
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$707.95
Typical High
$1,380.38
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$537.03
Typical High
$891.25
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$758.58
Typical High
$1,122.02
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$5,754.40
Typical High
$10,232.93
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$724.44
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$5,623.41
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$588.84
Typical High
$1,000.00
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$281.84
Typical High
$398.11