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Nationwide rates for HCPCS 43246

Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube

Facilitymedian $3,236 · 10th–90th $316$8,5110%10%10th90th$3,236Professionalmedian $269 · 10th–90th $174$9770%20%10th90th$269$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
$416.87 / $3,388.44 / $8,511.38
Aetna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$3,981.07 / $3,981.07 / $4,570.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $4,897.79 / $10,964.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $707.95 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Cigna
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$67.61 / $67.61 / $67.61
Cigna
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $2,511.89 / $6,025.60