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Ultrasound-Guided Needle Sample in the Esophagus

California rates for HCPCS 43232

A flexible scope with an ultrasound probe at its tip is passed through the mouth into the esophagus, giving a detailed picture of the wall of the food pipe and the structures just beyond it. Watching the ultrasound image, a thin needle is passed through the scope to take a sample from a lump, thickened area, or lymph node. The sample is sent for examination under a microscope.

Rates data updated July 2026.

How much does Ultrasound-Guided Needle Sample in the Esophagus cost?

$3,981

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $3,981 for this service. Most negotiated rates run $2,455 to $6,026.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,365 · 10th to 90th $617 to $13,490Professionalmedian $214 · 10th to 90th $166 to $490
$100.0$1.0K$10.0Kfacility $4,365professional $214

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
$2,344.23
Median
$6,456.54
Typical High
$18,197.01
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$4,466.84
Typical High
$12,882.50
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$3,981.07
Typical High
$8,511.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$1,023.29
Typical High
$2,238.72
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$229.09
Typical High
$346.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$204.17
Typical High
$512.86
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$28,840.32
Typical High
$28,840.32
Providence
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$302.00
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$4,168.69
Typical High
$9,549.93

Where California sits

The same service costs 33.9 times more in Indiana than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $3,981 · 8th of 50
IN $6,761ND $200

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.