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Esophagus Scope With Tissue Sample

Maine rates for HCPCS 43202

A flexible scope is passed through the mouth into the esophagus, the tube that carries food from the throat to the stomach, and one or more small pieces of tissue are pinched off for examination. The samples are sent to a laboratory and looked at under a microscope. It is used to work out the cause of swallowing trouble, heartburn, pain or an abnormal-looking lining.

Rates data updated July 2026.

How much rates vary

Facilitymedian $457 · 10th to 90th $457 to $3,890
$500$1K$2Kfacility $457

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45