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Nasal Scope Exam Of The Swallowing Tube With Tissue Sample

Missouri 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 Missouri, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $1,413 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$195$110 to $251
FacilityA hospital or hospital-owned outpatient department$1,413$724 to $2,455

How much rates vary

Facilitymedian $1,413 · 10th to 90th $195 to $4,074Professionalmedian $195 · 10th to 90th $91 to $389
$100$200$500$1K$2K$5Kfacility $1,413professional $195

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
$194.98
Median
$2,344.23
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$194.98
Typical High
$512.86
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,412.54
Typical High
$3,235.94
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$177.83
Typical High
$323.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$213.80
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$2,691.53
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$213.80
Typical High
$389.05
Medica
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$213.80
Typical High
$676.08
Medica
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$331.13
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,380.38
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$199.53
Typical High
$371.54

Where Missouri 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.

Missouri· 15th 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.