go back

North Carolina rates for HCPCS 43259

Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination, including the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is examined distal to the anastomosis

Facilitymedian $2,692 · 10th–90th $263–$7,9430%5%10%10th90th$2,692Professionalmedian $479 · 10th–90th $479–$4790%50%100%$479$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
$363.08 / $3,311.31 / $8,128.31
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 / $851.14 / $1,584.89
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $478.63
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $323.59 / $537.03
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 / $45,708.82