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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 July 2026.

How much does Diagnostic Esophagus Exam Through the Nose cost?

$178

Typical negotiated rate. In Arkansas, July 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. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$166$87.10 to $209
FacilityA hospital or hospital-owned outpatient department$832$794 to $1,479

How much rates vary

Facilitymedian $832 · 10th to 90th $224 to $1,862Professionalmedian $166 · 10th to 90th $76 to $251
$100$200$500$1K$2Kfacility $832professional $166

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$1,000.00
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$162.18
Typical High
$223.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,148.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$114.82
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$512.86
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$181.97
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,288.25
Typical High
$2,570.40
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$169.82
Typical High
$302.00

Where Arkansas sits

The same service costs 1.9 times more in Minnesota 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.

Arkansas· 33rd of 51

$178

MN $288KY $151

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.