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Illinois rates for HCPCS 43198

Esophagoscopy, flexible, transnasal; with biopsy, single or multiple

Facilitymedian $1,862 · 10th–90th $214–$5,6230%5%10th90th$1,862Professionalmedian $200 · 10th–90th $95–$3630%5%10%10th90th$200$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $1,862.09 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $194.98 / $371.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $1,288.25 / $1,862.09
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $213.80 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $275.42 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $223.87 / $407.38
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $346.74 / $1,071.52
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $123.03 / $281.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $288.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $2,137.96 / $4,365.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $199.53 / $380.19