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Nasal Scope Exam Of The Swallowing Tube With Tissue Sample

Washington, DC 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 physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $200 for this service. Most negotiated rates run $112 to $245.

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.

How much rates vary

Facilitymedian $1,862 · 10th to 90th $204 to $7,762Professionalmedian $178 · 10th to 90th $95 to $257
$100$500$2K$10Kfacility $1,862professional $178

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
$112.20
Median
$1,862.09
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$147.91
Typical High
$257.04
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$104.71
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$218.78
Typical High
$478.63
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$251.19
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$3,981.07
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$199.53
Typical High
$426.58

Where Washington, DC 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.

Washington, DC· 34th 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.