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Wisconsin rates for HCPCS 43210

Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed

Facilitymedian $14,454 · 10th–90th $851–$26,9150%5%10%10th90th$14,454Professionalmedian $891 · 10th–90th $490–$1,5490%10%10th90th$891$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $851.14 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $16,982.44 / $29,512.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,258.93 / $1,995.26
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $588.84 / $3,548.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $645.65 / $11,481.54
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $8,709.64 / $9,120.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $891.25 / $1,380.38
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $27,542.29 / $40,738.03
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $1,548.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $10,232.93 / $13,182.57