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Nasal Scope Exam Of The Swallowing Tube With Tissue Sample

Colorado 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?

$214

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $2,692 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 7 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$110 to $257
FacilityA hospital or hospital-owned outpatient department$2,692$251 to $5,129

How much rates vary

Facilitymedian $2,692 · 10th to 90th $120 to $6,457Professionalmedian $200 · 10th to 90th $95 to $339
$100$200$500$1K$2K$5K$10Kfacility $2,692professional $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
$218.78
Median
$5,128.61
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$194.98
Typical High
$316.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$3,388.44
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$199.53
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$891.25
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$218.78
Typical High
$389.05
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$208.93
Typical High
$363.08
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$229.09
Typical High
$851.14
Select Health
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$162.18
Typical High
$478.63
Select Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$104.71
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$3,235.94
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$204.17
Typical High
$389.05

Where Colorado 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.

Colorado· 25th of 51

$214

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.