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California rates for HCPCS 43198

Esophagoscopy, flexible, transnasal; with biopsy, single or multiple

Facilitymedian $3,981 · 10th–90th $309–$12,5890%5%10%10th90th$3,981Professionalmedian $219 · 10th–90th $95–$5750%5%10th90th$219$50.0$200.0$1.0K$5.0K$20.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $5,888.44 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $208.93 / $588.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $4,466.84 / $12,022.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $331.13 / $537.03
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $3,090.30 / $6,606.93
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $229.09 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $467.74 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $229.09 / $436.52
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $107.15 / $338.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $208.93 / $426.58
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $851.14
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,778.28 / $1,778.28
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $295.12
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $208.93 / $380.19
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $239.88 / $478.63
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $707.95
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $114.82 / $257.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $4,073.80 / $9,549.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $181.97 / $363.08