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Nationwide rates for HCPCS 43239

Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple

Facilitymedian $2,344 · 10th–90th $447$7,2440%10%10th90th$2,344Professionalmedian $269 · 10th–90th $72$8510%10%10th90th$269$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
$512.86 / $2,398.83 / $7,244.36
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$1,258.93 / $11,748.98 / $11,748.98
Aetna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$758.58 / $1,905.46 / $3,715.35
Aetna
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $251.19 / $851.14
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $4,073.80 / $9,332.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $346.74 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $812.83 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$186.21 / $186.21 / $186.21
Cigna
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $354.81 / $776.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $2,344.23 / $5,623.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $338.84 / $707.95