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Nasal Scope Exam Of The Swallowing Tube With Tissue Sample

West 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?

$178

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $204 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$178$97.72 to $209
FacilityA hospital or hospital-owned outpatient department$204$97.72 to $204

How much rates vary

Facilitymedian $204 · 10th to 90th $98 to $1,413Professionalmedian $178 · 10th to 90th $91 to $263
$50$100$200$500$1K$2Kfacility $204professional $178

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
$204.17
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$177.83
Typical High
$257.04
CareSource
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$125.89
CareSource
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$147.91
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$229.09
Typical High
$691.83
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$1,584.89
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$169.82
Typical High
$338.84

Where West 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.

West Virginia· 50th of 51

$178

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.