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Nasal Scope Exam Of The Swallowing Tube With Tissue Sample

Alabama rates for HCPCS 43198

This is a diagnostic examination of the swallowing tube (esophagus) using a thin, flexible scope passed through the nose rather than the mouth. During the exam, the physician takes a small tissue sample for further laboratory testing.

Rates data updated July 2026.

How much does Nasal Scope Exam Of The Swallowing Tube With Tissue Sample cost?

$200

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $1,479 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 4 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$200$107 to $240
FacilityA hospital or hospital-owned outpatient department$1,479$933 to $1,905

How much rates vary

Facilitymedian $1,479 · 10th to 90th $562 to $2,692Professionalmedian $200 · 10th to 90th $91 to $417
$100$200$500$1K$2K$5Kfacility $1,479professional $200

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
$416.87
Median
$954.99
Typical High
$3,090.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$199.53
Typical High
$416.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,584.89
Typical High
$2,137.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$151.36
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$218.78
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,659.59
Typical High
$3,162.28
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$169.82
Typical High
$316.23

Where Alabama sits

The same service costs 1.9 times more in Minnesota than in Kentucky. 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.

Alabama· 32nd of 51

$200

MN $331KY $170

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.