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Nationwide rates for HCPCS 43248

Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire

Facilitymedian $2,089 · 10th–90th $282–$7,0790%10%10th90th$2,089Professionalmedian $355 · 10th–90th $158–$8320%20%10th90th$355$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
$398.11 / $2,187.76 / $6,918.31
Aetna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$630.96 / $630.96 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $346.74 / $812.83
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $4,265.80 / $9,332.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $346.74 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $676.08 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $363.08 / $851.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $2,344.23 / $5,754.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $288.40 / $724.44

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