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Nasal Scope Exam Of The Swallowing Tube With Tissue Sample

Ohio 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?

$200

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $2,089 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 8 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$191$105 to $234
FacilityA hospital or hospital-owned outpatient department$2,089$646 to $3,715

How much rates vary

Facilitymedian $2,089 · 10th to 90th $204 to $10,233Professionalmedian $191 · 10th to 90th $93 to $316
$100$200$500$1K$2K$5K$10Kfacility $2,089professional $191

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
$204.17
Median
$2,089.30
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$194.98
Typical High
$331.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$2,187.76
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$169.82
Typical High
$295.12
CareSource
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$102.33
Typical High
$177.83
CareSource
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$114.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$158.49
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$223.87
Typical High
$398.11
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$562.34
Typical High
$2,570.40
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$223.87
Typical High
$380.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$66.07
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$204.17
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$2,089.30
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$181.97
Typical High
$331.13

Where Ohio 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.

Ohio· 38th of 51

$200

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.