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Nasal Scope Exam Of The Swallowing Tube With Tissue Sample

Rhode Island 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?

$195

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $2,399 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 4 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$195$123 to $263
FacilityA hospital or hospital-owned outpatient department$2,399$1,549 to $4,074

How much rates vary

Facilitymedian $2,399 · 10th to 90th $676 to $5,012Professionalmedian $195 · 10th to 90th $98 to $309
$100$200$500$1K$2K$5Kfacility $2,399professional $195

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
$1,513.56
Median
$1,548.82
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$194.98
Typical High
$263.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$218.78
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$245.47
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,398.83
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$194.98
Typical High
$346.74

Where Rhode Island 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.

Rhode Island· 46th of 51

$195

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.