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Nasal Scope Exam Of The Swallowing Tube With Tissue Sample

Delaware 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?

$204

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $2,291 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 3 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$102 to $240
FacilityA hospital or hospital-owned outpatient department$2,291$166 to $3,236

How much rates vary

Facilitymedian $2,291 · 10th to 90th $102 to $7,244Professionalmedian $204 · 10th to 90th $95 to $282
$100$200$500$1K$2K$5Kfacility $2,291professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$204.17
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$194.98
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$102.33
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$181.97
Typical High
$302.00

Where Delaware 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.

Delaware· 31st of 51

$204

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.