search again

Nationwide rates for HCPCS 43238

Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s), (includes endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures)

Facilitymedian $3,311 · 10th–90th $389$8,5110%10%20%10th90th$3,311Professionalmedian $316 · 10th–90th $204$1,2020%20%10th90th$316$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
$575.44 / $3,467.37 / $8,511.38
Aetna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$1,288.25 / $1,288.25 / $1,288.25
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
$389.05 / $831.76 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$309.03 / $309.03 / $309.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $2,511.89 / $6,025.60