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Nasal Scope Exam Of The Swallowing Tube With Tissue Sample

Idaho 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 Idaho, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $302 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$209$132 to $316
FacilityA hospital or hospital-owned outpatient department$302$186 to $1,023

How much rates vary

Facilitymedian $302 · 10th to 90th $120 to $3,467Professionalmedian $209 · 10th to 90th $100 to $407
$100$200$500$1K$2K$5Kfacility $302professional $209

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
$1,412.54
Median
$4,466.84
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$204.17
Typical High
$338.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$1,318.26
Typical High
$2,344.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$309.03
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$229.09
Typical High
$371.54
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$229.09
Typical High
$524.81
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$245.47
Typical High
$436.52
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$199.53
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,949.84
Typical High
$2,951.21
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$229.09
Typical High
$426.58
Select Health
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$204.17
Typical High
$2,398.83
Select Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$186.21
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$6,165.95
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$204.17
Typical High
$380.19

Where Idaho 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.

Idaho· 22nd 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.