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Esophagus Scope With Tissue Sample

Oregon 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 does Esophagus Scope With Tissue Sample cost?

$457

Typical facility fee. In Oregon, July 2026.

Insurers have agreed to pay about $457 for this service. Most negotiated rates run $224 to $676.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $457 · 10th to 90th $129 to $933Professionalmedian $282 · 10th to 90th $178 to $933
$100$200$500$1K$2K$5Kfacility $457professional $282

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
$257.04
Median
$4,677.35
Typical High
$7,943.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,949.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$281.84
Typical High
$933.25
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$346.74
Typical High
$676.08
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$645.65
Typical High
$707.95
Providence
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$331.13
Typical High
$707.95
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$6,165.95
Typical High
$7,585.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$5,128.61
Typical High
$7,244.36

Where Oregon sits

The same service costs 17.8 times more in Indiana than in West Virginia. 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.

Oregon· 40th of 50

$457

IN $6,166WV $347

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.