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Nasal Scope Exam Of The Swallowing Tube With Tissue Sample

Maryland 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?

$182

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $182 for this service. Most negotiated rates run $105 to $234.

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.

How much rates vary

Facilitymedian $447 · 10th to 90th $155 to $1,288Professionalmedian $178 · 10th to 90th $93 to $316
$100$200$500$1K$2Kfacility $447professional $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
Professional
Modifier
Global
Typical Low
$95.50
Median
$190.55
Typical High
$309.03
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$102.33
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$186.21
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$213.80
Typical High
$389.05
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$251.19
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$467.74
Typical High
$1,288.25
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$194.98
Typical High
$371.54
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$234.42
Typical High
$338.84

Where Maryland 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.

Maryland· 48th of 51

$182

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.