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Diagnostic Esophagus Exam Through the Nose

Arizona 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 $2,042 · 10th–90th $110$5,6230%5%10th90th$2,042Professionalmedian $174 · 10th–90th $79$3240%10%10th90th$174$50.0$200.0$1.0K$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
$1,513.56
Median
$3,162.28
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$169.82
Typical High
$309.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,698.24
Typical High
$3,311.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$194.98
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$144.54
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$186.21
Typical High
$346.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$181.97
Typical High
$562.34
Medica
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$251.19
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,659.59
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$165.96
Typical High
$295.12