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Esophagus Scope With Cell-Level Magnification

Montana rates for HCPCS 43206

A flexible scope is passed through the mouth into the esophagus, and a high-magnification attachment shows the lining at the level of individual cells during the examination. This lets the doctor judge suspicious areas as they look at them rather than waiting on laboratory results alone.

Rates data updated July 2026.

How much does Esophagus Scope With Cell-Level Magnification cost?

$275

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $339 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$275$178 to $398
FacilityA hospital or hospital-owned outpatient department$339$224 to $525

How much rates vary

Facilitymedian $339 · 10th to 90th $182 to $589Professionalmedian $275 · 10th to 90th $126 to $617
$100$200$500$1K$2K$5Kfacility $339professional $275

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
Professional
Modifier
Global
Typical Low
$125.89
Median
$239.88
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$316.23
Typical High
$660.69
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$446.68
Typical High
$562.34
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$446.68
Typical High
$562.34
Providence
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$316.23
Typical High
$630.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$331.13
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$363.08
Typical High
$575.44

Where Montana sits

The same service costs 2.3 times more in California 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.

Montana· 42nd of 51

$275

CA $479KY $204

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.