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North Carolina rates for HCPCS 43239

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

Facilitymedian $1,738 · 10th–90th $288$6,9180%5%10%10th90th$1,738Professionalmedian $288 · 10th–90th $71$8910%5%10%10th90th$288$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$501.19 / $2,238.72 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $234.42 / $812.83
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $169.82 / $371.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $512.86 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $588.84 / $912.01
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
$173.78 / $371.54 / $724.44
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $363.08 / $630.96
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $954.99
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $354.81 / $588.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $2,398.83 / $6,165.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $302.00 / $549.54
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $28,840.32
Wellcare
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $2,238.72
Wellcare
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,630.27 / $3,090.30