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Nasal Scope Exam Of The Swallowing Tube With Tissue Sample

Iowa 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?

$224

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $2,239 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$214$141 to $355
FacilityA hospital or hospital-owned outpatient department$2,239$316 to $3,802

How much rates vary

Facilitymedian $2,239 · 10th to 90th $166 to $6,457Professionalmedian $214 · 10th to 90th $95 to $575
$100$200$500$1K$2K$5K$10Kfacility $2,239professional $214

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
$2,570.40
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$199.53
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$269.15
Typical High
$575.44
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$316.23
Typical High
$831.76
Medica
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$281.84
Typical High
$2,398.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$398.11
Typical High
$1,548.82
Midlands
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$389.05
Typical High
$588.84
Midlands
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Midlands
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$407.38
Typical High
$588.84
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$199.53
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,398.83
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$234.42
Typical High
$501.19
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$208.93
Typical High
$537.03

Where Iowa 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.

Iowa· 10th of 51

$224

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.