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Tennessee rates for HCPCS 43270

Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)

Facilitymedian $2,399 · 10th–90th $708–$4,6770%10%10th90th$2,399Professionalmedian $646 · 10th–90th $219–$1,2880%5%10%10th90th$646$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $2,398.83 / $4,265.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $660.69 / $1,230.27
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $239.88 / $346.74
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,818.38 / $3,801.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $616.60 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $1,258.93 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $588.84 / $1,288.25
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $6,760.83
Lucent Health
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$5,370.32 / $5,370.32 / $5,370.32
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,888.44 / $5,888.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $2,137.96 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $575.44 / $1,174.90