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Montana rates for HCPCS 43239

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

Facilitymedian $813 · 10th–90th $234–$3,6310%10%10th90th$813Professionalmedian $229 · 10th–90th $66–$7590%10%10th90th$229$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
$891.25 / $2,137.96 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $223.87 / $794.33
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $75,857.76 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $537.03 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $380.19 / $776.25
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $575.44 / $676.08
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $575.44 / $676.08
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $407.38 / $741.31
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $363.08 / $954.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $524.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $371.54 / $707.95