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Upper Endoscopy With Ultrasound Needle Sampling

North Carolina rates for HCPCS 43238

A flexible camera with an ultrasound probe on its tip is passed through the mouth, and a fine needle is guided by the ultrasound picture to take samples from a lump, a thickened area of wall or a nearby gland. Here the ultrasound part looks at one area of the upper digestive tract and the structures immediately around it, rather than surveying the whole upper tract. Sedation is used and most people go home the same day.

Rates data updated July 2026.

How much does Upper Endoscopy With Ultrasound Needle Sampling cost?

$1,660

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $1,660 for this service. Most negotiated rates run $339 to $4,677.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,660 · 10th to 90th $234 to $7,244Professionalmedian $479 · 10th to 90th $479 to $479
$200$500$1K$2K$5K$10Kfacility $1,660professional $479

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$3,388.44
Typical High
$7,413.10
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$112.20
Median
$186.21
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$891.25
Typical High
$1,479.11
Medcost
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Medcost
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$316.23
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,995.26
Typical High
$6,309.57
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$28,840.32
Wellcare
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07

Where North Carolina sits

The same service costs 20.4 times more in Indiana than in Hawaii. 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.

North Carolina· 36th of 51

$1,660

IN $6,310HI $309

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.