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?
$126
Typical facility fee. In Missouri, October 2026.
Insurers have agreed to pay about $126 for this service. Most negotiated rates run $100 to $617.
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 4 insurance carriers under federal price transparency rules.
How much rates vary
Facilitymedian $457 · 10th to 90th $123 to $1,380Professionalmedian $100 · 10th to 90th $85 to $100
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.
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$85.11
Median
$100.00
Typical High
$100.00
Professional
None (both parts)
$85.11
$100.00
$100.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$501.19
Typical High
$630.96
Facility
None
$194.98
$501.19
$630.96
Medica
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$398.11
Typical High
$1,288.25
Facility
None
$123.03
$398.11
$1,288.25
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Professional
None (both parts)
$1,412.54
$1,412.54
$1,412.54
United
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$537.03
Typical High
$2,137.96
Facility
None
$123.03
$537.03
$2,137.96
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.
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Professional
TC · Technical part
$67.61
$67.61
$67.61
Where Missouri 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.