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Nasal Scope Exam Of The Swallowing Tube With Tissue Sample

Tennessee 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 Tennessee, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $1,905 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 5 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$107 to $240
FacilityA hospital or hospital-owned outpatient department$1,905$891 to $2,570

How much rates vary

Facilitymedian $1,905 · 10th to 90th $457 to $3,981Professionalmedian $195 · 10th to 90th $95 to $316
$100$200$500$1K$2K$5Kfacility $1,905professional $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
$457.09
Median
$1,778.28
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$190.55
Typical High
$309.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$2,089.30
Typical High
$2,951.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$213.80
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$316.23
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$218.78
Typical High
$389.05
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$851.14
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,778.28
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$2,089.30
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$186.21
Typical High
$354.81

Where Tennessee 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.

Tennessee· 36th 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.