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Diagnostic Esophagus Exam Through the Nose

Arkansas 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 October 2026.

How much does Diagnostic Esophagus Exam Through the Nose cost?

$178

Typical negotiated rate. In Arkansas, October 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $832 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$166$100 to $224
FacilityA hospital or hospital-owned outpatient department$832$372 to $955

How much rates vary

Facilitymedian $832 · 10th to 90th $155 to $1,349Professionalmedian $166 · 10th to 90th $87 to $269
$100$200$500$1K$2Kfacility $832professional $166

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$1,000.00
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$177.83
Typical High
$223.87
BCBS Arkansas
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$831.76
Typical High
$1,148.15
BCBS Arkansas
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$114.82
Typical High
$263.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$151.36
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$158.49
Typical High
$309.03
United
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$588.84
Typical High
$1,995.26
United
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$165.96
Typical High
$281.84
5 more rates 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
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$50.12
Median
$81.28
Typical High
$109.65
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$19.95
Median
$33.11
Typical High
$44.67
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$75.86
Median
$123.03
Typical High
$165.96
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$15.14
Median
$24.55
Typical High
$33.11
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$10.00
Median
$16.22
Typical High
$22.39

Where Arkansas sits

The same service costs 3.7 times more in Alaska than in Maryland. 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.

Arkansas· 32nd of 51

$178

AK $355MD $95.50

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.