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Nasal Scope Exam Of The Swallowing Tube With Tissue Sample

Indiana 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?

$195

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $3,890 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 5 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$178$100 to $224
FacilityA hospital or hospital-owned outpatient department$3,890$2,818 to $5,495

How much rates vary

Facilitymedian $3,890 · 10th to 90th $229 to $8,318Professionalmedian $178 · 10th to 90th $91 to $282
$100$200$500$1K$2K$5K$10Kfacility $3,890professional $178

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
$107.15
Median
$1,380.38
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$190.55
Typical High
$281.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,365.16
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$151.36
Typical High
$269.15
CareSource
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$97.72
Typical High
$109.65
CareSource
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$147.91
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$218.78
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$3,467.37
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$177.83
Typical High
$316.23

Where Indiana 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.

Indiana· 44th of 51

$195

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.