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Nasal Scope Exam Of The Swallowing Tube With Tissue Sample

Vermont 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?

$219

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $219 for this service. Most negotiated rates run $107 to $234.

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.

How much rates vary

Professionalmedian $219 · 10th to 90th $105 to $251
$100$200$500professional $219

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
Professional
Modifier
Global
Typical Low
$104.71
Median
$138.04
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$223.87
Typical High
$398.11
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$288.40
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$239.88
Typical High
$446.68

Where Vermont 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.

Vermont· 20th of 51

$219

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.