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Massachusetts rates for HCPCS 43235

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

Facilitymedian $1,820 · 10th–90th $240$3,8020%10%10th90th$1,820Professionalmedian $288 · 10th–90th $117$7410%10%10th90th$288$1.0$10.0$100.0$1.0K$10.0K

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
$588.84 / $1,949.84 / $3,801.89
Aetna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$870.96 / $933.25 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $263.03 / $724.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $1,949.84 / $19,498.45
AllWays Health Partners
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $2,238.72
AllWays Health Partners
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $323.59 / $2,041.74
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $190.55 / $446.68
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $346.74 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $501.19 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $323.59 / $660.69
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $162.18 / $3,311.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $446.68 / $660.69
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $3,162.28 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $331.13 / $812.83
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $1,737.80 / $2,344.23
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $251.19 / $501.19
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $1,949.84 / $19,498.45
Mass General Brigham
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $2,238.72
Mass General Brigham
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $323.59 / $2,041.74
Tufts
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $630.96 / $1,548.82
Tufts
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $144.54 / $223.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $2,398.83 / $6,918.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $316.23 / $831.76