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Virginia rates for HCPCS 43241

Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter

Facilitymedian $288 · 10th–90th $155–$6,9180%10%10th90th$288Professionalmedian $174 · 10th–90th $126–$3020%10%10th90th$174$100.0$200.0$500.0$1.0K$2.0K$5.0K$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
$204.17 / $3,235.94 / $7,244.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,981.07 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $870.96 / $977.24
Cigna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $147.91 / $295.12
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $218.78 / $323.59
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $199.53 / $316.23
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $186.21 / $794.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $2,754.23 / $5,370.32