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Nasal Scope Exam Of The Swallowing Tube With Tissue Sample

Wisconsin 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?

$251

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $2,754 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 11 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$148 to $407
FacilityA hospital or hospital-owned outpatient department$2,754$417 to $3,467

How much rates vary

Facilitymedian $2,754 · 10th to 90th $135 to $5,495Professionalmedian $224 · 10th to 90th $98 to $759
$100$200$500$1K$2K$5Kfacility $2,754professional $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
$107.15
Median
$275.42
Typical High
$1,905.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$204.17
Typical High
$436.52
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,090.30
Typical High
$5,754.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$295.12
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$660.69
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$354.81
Typical High
$891.25
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$218.78
Typical High
$2,818.38
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$323.59
Typical High
$588.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$218.78
Typical High
$4,265.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$416.87
Typical High
$1,548.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$4,265.80
Typical High
$4,570.88
Network Health
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$363.08
Typical High
$645.65
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$194.98
Typical High
$331.13
Quartz
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$302.00
Typical High
$724.44
Quartz
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$588.84
Typical High
$851.14
Quartz
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$407.38
Typical High
$1,548.82
Security Health
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$794.33
Security Health
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$660.69
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,548.13
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$245.47
Typical High
$645.65

Where Wisconsin 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.

Wisconsin· 5th of 51

$251

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.