search again

Nationwide rates for HCPCS 43235

Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)

Facilitymedian $2,042 · 10th–90th $295$6,3100%10%10th90th$2,042Professionalmedian $257 · 10th–90th $112$6760%20%10th90th$257$0.2$5.0$100.0$2.0K$50.0K$1.0M

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
$346.74 / $2,137.96 / $6,025.60
Aetna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$549.54 / $1,445.44 / $3,311.31
Aetna
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$1,288.25 / $2,398.83 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $245.47 / $676.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $4,073.80 / $9,332.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $288.40 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $645.65 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47
Cigna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$165.96 / $165.96 / $165.96
Cigna
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$41.69 / $41.69 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $295.12 / $616.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $2,344.23 / $5,623.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $288.40 / $549.54