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Diagnostic Esophagus Exam Through the Nose

Alabama rates for HCPCS 43197

An examination of the esophagus, the tube connecting the throat to the stomach, using a thin, flexible scope passed through the nose rather than the mouth. It allows the clinician to directly view the lining of the esophagus and can include collecting a sample by brushing or rinsing the surface. Because it goes through the nose with a very thin scope, it is often done without sedation, unlike a standard scope passed through the mouth.

Rates data updated July 2026.

Facilitymedian $1,479 · 10th–90th $617$2,4550%10%10th90th$1,479Professionalmedian $166 · 10th–90th $76$3800%10%10th90th$166$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$954.99
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$165.96
Typical High
$380.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,584.89
Typical High
$2,137.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$134.90
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$190.55
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,659.59
Typical High
$3,162.28
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$154.88
Typical High
$281.84