go back

Nasal Scope Exam Of The Swallowing Tube With Tissue Sample

Illinois 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?

$209

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $1,259 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 6 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$200$115 to $275
FacilityA hospital or hospital-owned outpatient department$1,259$468 to $2,692

How much rates vary

Facilitymedian $1,259 · 10th to 90th $186 to $5,129Professionalmedian $200 · 10th to 90th $98 to $380
$100$200$500$1K$2K$5K$10Kfacility $1,259professional $200

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
$186.21
Median
$1,258.93
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$194.98
Typical High
$363.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$1,288.25
Typical High
$1,862.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$213.80
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$275.42
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$223.87
Typical High
$407.38
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$346.74
Typical High
$1,071.52
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$123.03
Typical High
$281.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,949.84
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$204.17
Typical High
$389.05

Where Illinois 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.

Illinois· 29th of 51

$209

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.