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New Jersey rates for HCPCS 43239

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

Facilitymedian $1,445 · 10th–90th $490–$6,3100%10%10th90th$1,445Professionalmedian $251 · 10th–90th $74–$7240%10%10th90th$251$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
$489.78 / $1,412.54 / $6,309.57
Aetna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$2,041.74 / $2,290.87 / $2,951.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $245.47 / $724.44
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $128.82 / $269.15
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $1,348.96 / $10,000.00
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $177.83 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $2,754.23 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $354.81 / $794.33
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $446.68 / $851.14
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $3,019.95 / $4,677.35
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $363.08 / $794.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $5,011.87 / $8,317.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $295.12 / $660.69