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New York rates for HCPCS 43226

Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire

Facilitymedian $3,548 · 10th–90th $479–$7,7620%5%10th90th$3,548$100.0$500.0$2.0K$10.0K$50.0K

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
$239.88 / $3,019.95 / $7,413.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,786.30 / $9,549.93
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $1,258.93 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $1,318.26 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $181.97 / $457.09
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $8,511.38
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,467.37 / $7,244.36
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $154.88 / $562.34