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Transnasal Endoscopy With Additional Step

Missouri rates for HCPCS 0654T

This is an endoscopy in which a thin, flexible scope is passed through the nose, rather than the mouth, into the esophagus, stomach, and the first part of the small intestine, including an additional diagnostic or therapeutic step beyond a standard look-and-see exam. It is typically performed on an outpatient basis. Ask your gastroenterologist what specific additional step is involved in your procedure.

Rates data updated July 2026.

How much does Transnasal Endoscopy With Additional Step cost?

$145

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $2,512 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$138$126 to $174
FacilityA hospital or hospital-owned outpatient department$2,512$1,096 to $3,890

How much rates vary

Facilitymedian $2,512 · 10th to 90th $138 to $5,754Professionalmedian $138 · 10th to 90th $102 to $257
$100$200$500$1K$2K$5K$10Kfacility $2,512professional $138

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$3,090.30
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$131.83
Typical High
$223.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$128.82
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$5,248.07
Typical High
$5,248.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$181.97
Typical High
$2,454.71
Medica
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$199.53
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$2,344.23
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$177.83
Typical High
$281.84

Where Missouri sits

The same service costs 24.0 times more in California than in North Dakota. 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.

Missouri· 37th of 51

$145

CA $3,162ND $132

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.