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Rigid Food Pipe Scope With Biopsy

South Dakota 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 $355 · 10th–90th $166$4,3650%5%10%10th90th$355Professionalmedian $288 · 10th–90th $209$3630%20%10th90th$288$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$2,290.87
Typical High
$4,365.16
Avera
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$269.15
Typical High
$478.63
Midlands
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$389.05
Typical High
$389.05
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$281.84
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$3,890.45