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Tennessee rates for HCPCS 43235

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

Facilitymedian $1,698 · 10th–90th $457$4,0740%5%10%10th90th$1,698Professionalmedian $263 · 10th–90th $112$6920%10%10th90th$263$50.0$200.0$1.0K$5.0K

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
$398.11 / $1,621.81 / $4,073.80
Aetna
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$1,621.81 / $1,621.81 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $263.03 / $707.95
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $141.25 / $223.87
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $2,089.30 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $281.84 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $467.74 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $281.84 / $512.86
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $2,818.38 / $19,498.45
Lucent Health
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $2,238.72
Lucent Health
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,398.83 / $2,398.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $2,137.96 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $251.19 / $467.74