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Nasal Scope Exam Of The Swallowing Tube With Tissue Sample

Nebraska 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 Nebraska, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $3,388 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$219$115 to $302
FacilityA hospital or hospital-owned outpatient department$3,388$363 to $7,762

How much rates vary

Facilitymedian $3,388 · 10th to 90th $158 to $13,490Professionalmedian $219 · 10th to 90th $95 to $513
$100$500$2K$10Kfacility $3,388professional $219

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
$2,187.76
Median
$4,786.30
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$199.53
Typical High
$512.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$4,073.80
Typical High
$7,943.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$194.98
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$302.00
Typical High
$512.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$199.53
Typical High
$512.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$446.68
Typical High
$1,548.82
Midlands
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$389.05
Typical High
$602.56
Midlands
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$346.74
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$1,380.38
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$245.47
Typical High
$501.19

Where Nebraska 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.

Nebraska· 17th 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.