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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.

How much does Diagnostic Esophagus Exam Through the Nose cost?

$178

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $2,042 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 5 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$174$89.13 to $219
FacilityA hospital or hospital-owned outpatient department$2,042$282 to $3,715

How much rates vary

Facilitymedian $2,042 · 10th to 90th $110 to $5,623Professionalmedian $174 · 10th to 90th $79 to $324
$100$200$500$1K$2K$5Kfacility $2,042professional $174

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
$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

Where Arizona 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.

Arizona· 32nd 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.