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Rigid Food Pipe Scope With Biopsy

Illinois rates for HCPCS 43193

Examines the food pipe using a straight, rigid scope passed through the mouth, and takes one or more small tissue samples from the lining for laboratory examination. The rigid instrument gives a wide working channel, which suits taking samples and working on the upper food pipe. It is done under general anesthesia.

Rates data updated July 2026.

Facilitymedian $1,622 · 10th–90th $316$5,6230%5%10th90th$1,622Professionalmedian $437 · 10th–90th $191$7240%10%10th90th$437$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
$316.23
Median
$1,380.38
Typical High
$5,623.41
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,630.27
Typical High
$3,388.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$588.84
Typical High
$1,698.24
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$436.52
Typical High
$724.44
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,089.30
Typical High
$4,677.35