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Upper Endoscopy With Limited Ultrasound

South Dakota 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.

Rates data updated July 2026.

How much does Upper Endoscopy With Limited Ultrasound cost?

$417

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $417 for this service. Most negotiated rates run $309 to $3,162.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,162 · 10th to 90th $355 to $4,365Professionalmedian $316 · 10th to 90th $245 to $407
$200$500$1K$2K$5Kfacility $3,162professional $316

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$3,162.28
Typical High
$4,365.16
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Avera
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$380.19
Typical High
$1,905.46
Medica
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$323.59
Typical High
$1,862.09
Midlands
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$457.09
Typical High
$457.09
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$309.03
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$3,890.45

Where South Dakota sits

The same service costs 25.1 times more in Indiana than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 46th of 51

$417

IN $6,166MD $245

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.