go back

Nasal Scope Exam Of The Swallowing Tube With Tissue Sample

Kentucky 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?

$170

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $1,288 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$155$95.50 to $204
FacilityA hospital or hospital-owned outpatient department$1,288$219 to $3,890

How much rates vary

Facilitymedian $1,288 · 10th to 90th $120 to $10,715Professionalmedian $155 · 10th to 90th $87 to $257
$50$200$1K$5Kfacility $1,288professional $155

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
$120.23
Median
$851.14
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$177.83
Typical High
$257.04
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$151.36
Typical High
$199.53
CareSource
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$112.20
Typical High
$147.91
CareSource
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$109.65
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$147.91
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$234.42
Typical High
$1,047.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$158.49
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$1,445.44
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$186.21
Typical High
$331.13

Where Kentucky 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.

Kentucky· 51st of 51

$170

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.