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Nasal Scope Exam Of The Swallowing Tube With Tissue Sample

Maine 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?

$224

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $224 for this service. Most negotiated rates run $120 to $288.

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 $692 · 10th to 90th $692 to $692Professionalmedian $224 · 10th to 90th $102 to $479
$100$200$500facility $692professional $224

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$194.98
Typical High
$257.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$213.80
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$239.88
Typical High
$478.63
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$257.04
Typical High
$549.54
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$194.98
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$229.09
Typical High
$478.63

Where Maine 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.

Maine· 9th of 51

$224

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.