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Nasal Scope Exam Of The Swallowing Tube With Tissue Sample

Georgia 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 Georgia, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $204 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$204$117 to $269
FacilityA hospital or hospital-owned outpatient department$2,692$1,259 to $4,571

How much rates vary

Facilitymedian $2,692 · 10th to 90th $513 to $7,079Professionalmedian $204 · 10th to 90th $98 to $398
$100$200$500$1K$2K$5K$10Kfacility $2,692professional $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
$354.81
Median
$4,466.84
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$199.53
Typical High
$323.59
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$2,089.30
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$218.78
Typical High
$426.58
CareSource
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$512.86
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$229.09
Typical High
$446.68
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$223.87
Typical High
$489.78
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$338.84
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$2,137.96
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$204.17
Typical High
$398.11

Where Georgia 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.

Georgia· 21st 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.