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Nasal Scope Exam Of The Swallowing Tube With Tissue Sample

Montana 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?

$195

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $240 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 5 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$132 to $295
FacilityA hospital or hospital-owned outpatient department$240$166 to $363

How much rates vary

Facilitymedian $240 · 10th to 90th $135 to $407Professionalmedian $195 · 10th to 90th $95 to $427
$100$200$500$1K$2Kfacility $240professional $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
Professional
Modifier
Global
Typical Low
$95.50
Median
$190.55
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$223.87
Typical High
$478.63
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$323.59
Typical High
$380.19
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$323.59
Typical High
$380.19
Providence
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$229.09
Typical High
$446.68
Providence
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$245.47
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$234.42
Typical High
$398.11

Where Montana 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.

Montana· 42nd of 51

$195

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.