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Maryland rates for HCPCS 43197

Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)

Facilitymedian $468 · 10th–90th $138–$1,4130%10%10th90th$468Professionalmedian $174 · 10th–90th $79–$3160%10%10th90th$174$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $177.83 / $323.59
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $87.10 / $138.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $141.25 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $190.55 / $363.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $223.87 / $316.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $575.44 / $1,445.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $165.96 / $316.23
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $239.88 / $302.00