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Diagnostic Scope Exam Of The Esophagus

Indiana 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 July 2026.

How much does Diagnostic Scope Exam Of The Esophagus cost?

$3,826

Typical total for the visit. In Indiana, July 2026.

Insurers have agreed to pay about $3,826 for this procedure. That total is two separate charges: $195 to the doctor who performs it, and $3,631 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$195$100 to $269
Facility feeThe hospital or surgery center$3,631$977 to $5,248

How much rates vary

Facilitymedian $3,631 · 10th to 90th $138 to $7,413Professionalmedian $195 · 10th to 90th $85 to $347
$50.0$200.0$1.0K$5.0Kfacility $3,631professional $195

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
$102.33
Median
$371.54
Typical High
$5,623.41
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$46.77
Median
$128.82
Typical High
$229.09
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$19.05
Median
$53.70
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$194.98
Typical High
$323.59
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$3,890.45
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$199.53
Typical High
$371.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$87.10
Typical High
$97.72
CareSource
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$144.54
Typical High
$549.54
Cigna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Cigna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$223.87
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$3,019.95
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$190.55
Typical High
$338.84

Where Indiana sits

The same service costs 11.8 times more in New Jersey than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeIndiana $3,826 · 4th of 50
NJ $5,122WV $433

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.