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Nasal Scope Exam Of The Swallowing Tube With Tissue Sample

New York 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?

$245

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $3,090 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 9 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$158 to $324
FacilityA hospital or hospital-owned outpatient department$3,090$1,660 to $4,467

How much rates vary

Facilitymedian $3,090 · 10th to 90th $209 to $7,413Professionalmedian $219 · 10th to 90th $100 to $550
$100$200$500$1K$2K$5K$10Kfacility $3,090professional $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
$141.25
Median
$2,754.23
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$194.98
Typical High
$338.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,630.78
Typical High
$5,011.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$194.98
Typical High
$416.87
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$1,258.93
Typical High
$4,073.80
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$257.04
Typical High
$676.08
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$123.03
Typical High
$316.23
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$323.59
Typical High
$489.78
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$251.19
Typical High
$446.68
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$302.00
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,467.37
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$323.59
Typical High
$933.25
Univera
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$117.49
Typical High
$190.55
Univera
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$245.47
Typical High
$398.11

Where New York 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.

New York· 7th of 51

$245

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.