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Nasal Scope Exam Of The Swallowing Tube With Tissue Sample

Virginia 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 Virginia, 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 $229 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$200$112 to $251
FacilityA hospital or hospital-owned outpatient department$229$120 to $2,042

How much rates vary

Facilitymedian $229 · 10th to 90th $105 to $5,248Professionalmedian $200 · 10th to 90th $95 to $339
$100$200$500$1K$2K$5K$10Kfacility $229professional $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
$169.82
Median
$2,818.38
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$194.98
Typical High
$295.12
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$194.98
Typical High
$354.81
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$104.71
Typical High
$169.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$158.49
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$218.78
Typical High
$389.05
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$263.03
Typical High
$537.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$524.81
Typical High
$524.81
Medcost
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$208.93
Typical High
$371.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$338.84
Sentara
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$123.03
Typical High
$870.96
Sentara
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$263.03
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$2,754.23
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$181.97
Typical High
$363.08

Where Virginia 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.

Virginia· 33rd 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.