Covers a diagnostic study of the digestive tract that has no standard named entry of its own. Such studies look at how the esophagus, stomach, or intestines move, sense, or handle what passes through them. Because the study is non-standard, the provider submits a written description of exactly what was performed.
Rates data updated October 2026.
How much does Unlisted Digestive Diagnostic Test cost?
$135
Typical facility fee. In Michigan, October 2026.
Insurers have agreed to pay about $135 for this service. Most negotiated rates run $132 to $339.
These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.
How much rates vary
Facilitymedian $135 · 10th to 90th $120 to $692
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$489.78
Facility
None
$131.83
$131.83
$489.78
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$2,187.76
Typical High
$3,019.95
Facility
None
$331.13
$2,187.76
$3,019.95
United
Setting
Facility
Modifier
None
Typical Low
$91.20
Median
$177.83
Typical High
$1,202.26
Facility
None
$91.20
$177.83
$1,202.26
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Health Alliance Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$56.23
Median
$56.23
Typical High
$102.33
Professional
26 · Professional part
$56.23
$56.23
$102.33
Where Michigan sits
The same service costs 1318.3 times more in Pennsylvania than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.