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Diagnostic Scope Exam Of The Esophagus

Washington, DC rates for HCPCS 43200

A thin, flexible scope with a camera is passed through the mouth and down into the esophagus (the tube connecting the throat to the stomach) to directly examine its lining. It is used to look for problems such as inflammation, narrowing, or abnormal tissue, and may include collecting cells by brushing or washing the area.

Rates data updated October 2026.

How much does Diagnostic Scope Exam Of The Esophagus cost?

$117

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $117 for this service. Most negotiated rates run $93.33 to $282.

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.

How much rates vary

Facilitymedian $1,698 · 10th to 90th $245 to $16,218Professionalmedian $115 · 10th to 90th $85 to $324
$100$500$2K$10Kfacility $1,698professional $115

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$1,548.82
Typical High
$3,311.31
Aetna
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$229.09
Typical High
$323.59
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$48.98
Median
$97.72
Typical High
$162.18
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$19.95
Median
$38.90
Typical High
$64.57
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$74.13
Median
$147.91
Typical High
$245.47
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$14.79
Median
$29.51
Typical High
$48.98
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$10.00
Median
$19.50
Typical High
$32.36
CareFirst
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$95.50
Typical High
$128.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$239.88
Typical High
$346.74
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$316.23
Typical High
$478.63
United
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$2,511.89
Typical High
$27,542.29
United
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$194.98
Typical High
$389.05

Where Washington, DC sits

The same service costs 4.0 times more in Alaska than in Washington, DC. 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.

Washington, DC· 51st of 51

$117

AK $468DC $117

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.