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Nasal Scope Exam Of The Swallowing Tube With Tissue Sample

South Dakota 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?

$224

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $263 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 7 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$224$166 to $355
FacilityA hospital or hospital-owned outpatient department$263$162 to $501

How much rates vary

Facilitymedian $263 · 10th to 90th $98 to $2,291Professionalmedian $224 · 10th to 90th $91 to $501
$100$200$500$1K$2Kfacility $263professional $224

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
$97.72
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$181.97
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$275.42
Typical High
$630.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$251.19
Typical High
$549.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$346.74
Typical High
$1,548.82
Midlands
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$239.88
Typical High
$467.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$426.58
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$257.04
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$245.47
Typical High
$467.74
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$208.93
Typical High
$562.34

Where South Dakota 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 Dakota· 12th of 51

$224

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.