go back

North Carolina rates for HCPCS 43246

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

Facilitymedian $2,239 · 10th–90th $209$6,9180%10%10th90th$2,239Professionalmedian $407 · 10th–90th $407$4070%50%100%$407$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $3,311.31 / $7,585.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $912.01 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $891.25 / $1,584.89
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
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $281.84 / $489.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $2,398.83 / $5,623.41
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $28,840.32
Wellcare
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$3,981.07 / $3,981.07 / $3,981.07
Wellcare
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,000.00
Wellcare
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $3,162.28
Wellcare
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$501.19 / $501.19 / $501.19