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Nasal Scope Exam Of The Swallowing Tube With Tissue Sample

North Carolina 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?

$263

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $251 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 7 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$263$166 to $372
FacilityA hospital or hospital-owned outpatient department$251$148 to $933

How much rates vary

Facilitymedian $251 · 10th to 90th $95 to $4,571Professionalmedian $263 · 10th to 90th $112 to $589
$100$200$500$1K$2K$5Kfacility $251professional $263

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
$208.93
Median
$1,659.59
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$204.17
Typical High
$426.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$660.69
Typical High
$741.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$323.59
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$257.04
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$245.47
Typical High
$457.09
Medcost
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$204.17
Typical High
$346.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$549.54
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$2,041.74
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$181.97
Typical High
$323.59
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$851.14
Typical High
$851.14
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,778.28

Where North Carolina 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.

North Carolina· 4th of 51

$263

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.