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Upper Endoscopy With Limited Ultrasound

South Carolina rates for HCPCS 43237

A flexible camera with an ultrasound probe on its tip is passed through the mouth, so the doctor can both look at the lining and see through the wall into the tissue beneath and beside it. Here the ultrasound part is limited to one area of the upper digestive tract and the structures right next to it. No tissue sample is taken as part of it.

Facilitymedian $1,905 · 10th–90th $229$9,1200%5%10%10th90th$1,905Professionalmedian $331 · 10th–90th $309$3890%20%10th90th$331$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$5,370.32
Typical High
$9,120.11
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,584.89
Typical High
$3,548.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$588.84
Typical High
$1,148.15
Medcost
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$331.13
Typical High
$389.05
Medcost
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$288.40
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$4,897.79
Typical High
$9,772.37