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North Carolina rates for HCPCS 43236

Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance

Facilitymedian $525 · 10th–90th $155$6,9180%5%10th90th$525Professionalmedian $562 · 10th–90th $562$5620%50%100%$562$100.0$500.0$2.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $3,019.95 / $7,413.10
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $616.60 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $602.56 / $851.14
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $371.54 / $660.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $2,398.83 / $6,165.95
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $2,818.38 / $28,840.32