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Nasal Scope Exam Of The Swallowing Tube With Tissue Sample

Massachusetts 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?

$219

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $1,000 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$214$115 to $309
FacilityA hospital or hospital-owned outpatient department$1,000$135 to $2,399

How much rates vary

Facilitymedian $1,000 · 10th to 90th $112 to $3,715Professionalmedian $214 · 10th to 90th $95 to $513
$100$200$500$1K$2K$5Kfacility $1,000professional $214

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
$218.78
Median
$2,187.76
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$190.55
Typical High
$316.23
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$776.25
Typical High
$4,570.88
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$223.87
Typical High
$676.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$263.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$257.04
Typical High
$562.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$676.08
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$257.04
Typical High
$512.86
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$117.49
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$302.00
Typical High
$467.74
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$3,162.28
Typical High
$8,511.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$223.87
Typical High
$549.54
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$776.25
Typical High
$4,570.88
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$223.87
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$2,398.83
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$234.42
Typical High
$575.44

Where Massachusetts 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.

Massachusetts· 18th of 51

$219

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.