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Nasal Scope Exam Of The Swallowing Tube With Tissue Sample

South Carolina 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 South Carolina, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $282 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$200$112 to $245
FacilityA hospital or hospital-owned outpatient department$282$162 to $3,802

How much rates vary

Facilitymedian $282 · 10th to 90th $117 to $9,772Professionalmedian $200 · 10th to 90th $95 to $309
$100$500$2K$10Kfacility $282professional $200

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
$117.49
Median
$5,623.41
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$199.53
Typical High
$281.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,096.48
Typical High
$2,290.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$229.09
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$229.09
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$229.09
Typical High
$446.68
Medcost
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$208.93
Typical High
$380.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$4,897.79
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$186.21
Typical High
$363.08

Where South Carolina 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.

South Carolina· 39th 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.