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Nasal Scope Exam Of The Swallowing Tube With Tissue Sample

Connecticut 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?

$209

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $4,571 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 5 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$204$112 to $269
FacilityA hospital or hospital-owned outpatient department$4,571$3,388 to $5,248

How much rates vary

Facilitymedian $4,571 · 10th to 90th $2,138 to $8,511Professionalmedian $204 · 10th to 90th $95 to $437
$100$200$500$1K$2K$5K$10Kfacility $4,571professional $204

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
$2,754.23
Median
$4,677.35
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$194.98
Typical High
$338.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,162.28
Typical High
$11,748.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$269.15
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$363.08
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$269.15
Typical High
$537.03
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$354.81
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$5,495.41
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$245.47
Typical High
$524.81

Where Connecticut 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.

Connecticut· 27th of 51

$209

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.