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Transnasal Upper Digestive Scope Exam With Biopsy

Wisconsin 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 $468$5,7540%10%20%10th90th$3,020Professionalmedian $417 · 10th–90th $234$1,4130%10%10th90th$417$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
$223.87
Median
$223.87
Typical High
$17,782.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$354.81
Typical High
$407.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,090.30
Typical High
$5,754.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$549.54
Typical High
$1,949.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$363.08
Typical High
$467.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$691.83
Typical High
$5,623.41
Medica
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$660.69
Typical High
$2,884.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$4,265.80
Typical High
$4,786.30
Network Health
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$363.08
Typical High
$467.74
Quartz
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$831.76
Typical High
$1,202.26
Quartz
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$3,467.37
Typical High
$5,011.87
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,570.40
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$3,630.78
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$549.54
Typical High
$1,513.56