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Nationwide rates for HCPCS 43237

Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures

Facilitymedian $3,162 · 10th–90th $331$8,3180%10%20%10th90th$3,162Professionalmedian $263 · 10th–90th $162$1,0230%20%10th90th$263$0.1$2.0$50.0$1.0K$20.0K$500.0K

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
$562.34 / $3,235.94 / $7,943.28
Aetna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$407.38 / $1,318.26 / $1,819.70
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $4,897.79 / $10,471.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $812.83 / $1,862.09
Cigna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $2,511.89 / $6,025.60