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Nasal Scope Exam Of The Swallowing Tube With Tissue Sample

Michigan 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?

$178

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $2,042 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$151$107 to $229
FacilityA hospital or hospital-owned outpatient department$2,042$933 to $4,898

How much rates vary

Facilitymedian $2,042 · 10th to 90th $186 to $4,898Professionalmedian $151 · 10th to 90th $93 to $263
$100$200$500$1K$2K$5Kfacility $2,042professional $151

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
$125.89
Median
$2,041.74
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$177.83
Typical High
$263.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$125.89
Typical High
$125.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$208.93
Typical High
$407.38
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$588.84
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$208.93
Typical High
$302.00
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$380.19
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,819.70
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$194.98
Typical High
$331.13

Where Michigan 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.

Michigan· 49th of 51

$178

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.