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Nationwide rates for HCPCS 43255

Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method

Facilitymedian $2,630 · 10th–90th $331$8,3180%10%10th90th$2,630Professionalmedian $437 · 10th–90th $195$1,1750%20%10th90th$437$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
$389.05 / $2,818.38 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $416.87 / $1,096.48
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
$239.88 / $512.86 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $1,000.00 / $2,754.23
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Cigna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $467.74 / $1,348.96
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
$186.21 / $398.11 / $1,202.26