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Nationwide rates for HCPCS 43245

Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)

Facilitymedian $2,630 · 10th–90th $282$7,9430%10%10th90th$2,630Professionalmedian $398 · 10th–90th $170$1,1480%20%10th90th$398$0.5$5.0$50.0$500.0$5.0K$50.0K$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
$446.68 / $2,754.23 / $7,762.47
Aetna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$457.09 / $2,041.74 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $371.54 / $1,047.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $4,897.79 / $10,964.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $457.09 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $1,023.29 / $2,754.23
Cigna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$239.88 / $239.88 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $407.38 / $1,230.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $2,511.89 / $6,025.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $323.59 / $1,071.52