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Nationwide rates for HCPCS 43266

Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)

Facilitymedian $4,169 · 10th–90th $339–$12,0230%5%10%10th90th$4,169Professionalmedian $288 · 10th–90th $191–$9550%10%20%10th90th$288$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
$588.84 / $4,265.80 / $10,964.78
Aetna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$1,698.24 / $1,698.24 / $1,698.24
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $5,011.87 / $13,803.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $758.58 / $7,762.47
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$436.52 / $436.52 / $436.52
Cigna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $5,128.61 / $12,589.25

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