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Nasal Scope Exam Of The Swallowing Tube With Tissue Sample

Oregon 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?

$251

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $331 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$240$174 to $417
FacilityA hospital or hospital-owned outpatient department$331$200 to $417

How much rates vary

Facilitymedian $331 · 10th to 90th $112 to $550Professionalmedian $240 · 10th to 90th $102 to $537
$100$200$500$1K$2K$5Kfacility $331professional $240

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
$239.88
Median
$562.34
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$218.78
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$257.04
Typical High
$524.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$251.19
Typical High
$524.81
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$218.78
Typical High
$436.52
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$338.84
Typical High
$524.81
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$407.38
Typical High
$416.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$213.80
Typical High
$446.68
Providence
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$269.15
Typical High
$537.03
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,951.21
Typical High
$3,715.35
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$323.59
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$2,754.23
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$275.42
Typical High
$537.03

Where Oregon 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.

Oregon· 6th of 51

$251

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.