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Nasal Scope Exam Of The Swallowing Tube With Tissue Sample

Florida 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?

$195

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $3,236 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 8 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$178$102 to $229
FacilityA hospital or hospital-owned outpatient department$3,236$1,514 to $6,457

How much rates vary

Facilitymedian $3,236 · 10th to 90th $646 to $10,471Professionalmedian $178 · 10th to 90th $89 to $295
$50$200$1K$5Kfacility $3,236professional $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
$645.65
Median
$3,235.94
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$177.83
Typical High
$281.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
AvMed
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$2,818.38
Typical High
$11,220.18
AvMed
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$181.97
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$147.91
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$208.93
Typical High
$398.11
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,311.31
Typical High
$7,244.36
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$190.55
Typical High
$257.04
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$74.13
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$3,090.30
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$169.82
Typical High
$331.13
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$162.18
Typical High
$223.87

Where Florida 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.

Florida· 43rd of 51

$195

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.