Upper endoscopy with tissue sample

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HB Egd Transoral Biopsy Single/Multiple

Payers reporting CPT 43239

69 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +37 other terms	643	$961.23	$1,682	$1.00 – $27,552
2	Aetna fee schedule · outpatient · +38 other terms	585	$1,013	$1,827	$1.05 – $26,648
3	Blue Cross Blue Shield fee schedule · outpatient · +34 other terms	466	$1,234	$1,998	$1.00 – $22,145
4	Humana fee schedule · outpatient · +30 other terms	435	$913.63	$949.71	$1.00 – $12,772
5	Cigna case rate · outpatient · +32 other terms	345	$3,486	$5,147	$0.62 – $40,673
6	Molina fee schedule · outpatient · +32 other terms	271	$796.39	$791.54	$1.00 – $5,752
7	WellCare fee schedule · outpatient · +23 other terms	205	$956.67	$973.07	$129.00 – $4,358
8	Anthem facility · fee schedule · outpatient · +32 other terms	154	$1,148	$1,713	$2.46 – $10,604
9	Oscar case rate · outpatient · +24 other terms	136	$3,445	$3,029	$1,377 – $7,276
10	Ambetter fee schedule · outpatient · +22 other terms	110	$1,567	$1,502	$126.00 – $3,800
11	Kaiser fee schedule · outpatient · +24 other terms	102	$1,191	$1,294	$15.00 – $6,493
12	Devoted facility · fee schedule · outpatient · +21 other terms	93	$875.69	$970.47	$66.05 – $4,973
13	Highmark facility · fee schedule · outpatient · +19 other terms	87	$1,169	$1,341	$2.46 – $5,023
14	Tricare facility · fee schedule · outpatient · +22 other terms	87	$911.62	$1,414	$60.91 – $6,504
15	Aetna Better Health fee schedule · outpatient · +25 other terms	81	$422.84	$496.97	$137.52 – $3,399
16	MultiPlan fee schedule · outpatient · +24 other terms	77	$1,454	$1,879	$121.00 – $7,309
17	Caresource fee schedule · outpatient · +20 other terms	75	$883.28	$1,475	$1.05 – $4,358
18	Optum fee schedule · outpatient · +27 other terms	63	$857.90	$967.66	$131.37 – $3,348
19	Healthcare Highways case rate · outpatient · +5 other terms	59	$2,434	$2,672	$2,047 – $4,259
20	Regence professional · fee schedule · outpatient · +20 other terms	53	$247.02	$296.15	$56.36 – $1,190
21	Medica fee schedule · outpatient · +26 other terms	51	$966.76	$1,019	$98.15 – $3,186
22	Amerihealth Caritas facility · fee schedule · outpatient · +16 other terms	50	$231.95	$630.44	$148.58 – $9,661
23	Medicaid facility · fee schedule · outpatient · +20 other terms	42	$644.35	$894.89	$148.58 – $2,976
24	Ucare professional · fee schedule · outpatient · +22 other terms	42	$77.87	$106.68	$39.41 – $294.38
25	First Health fee schedule · outpatient · +24 other terms	40	$947.15	$1,428	$149.10 – $7,569

Page 1 of 3 · 69 payers