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Diagnostic Esophagus Exam Through the Nose

California 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 $3,802 · 10th–90th $240$12,3030%5%10%10th90th$3,802Professionalmedian $186 · 10th–90th $79$5250%5%10%10th90th$186$50.0$200.0$1.0K$5.0K$20.0K

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
$1,288.25
Median
$5,495.41
Typical High
$16,982.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$186.21
Typical High
$812.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,365.16
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$295.12
Typical High
$478.63
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$2,884.03
Typical High
$6,456.54
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$102.33
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$630.96
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$204.17
Typical High
$398.11
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$83.18
Typical High
$309.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$186.21
Typical High
$389.05
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$794.33
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,621.81
Typical High
$1,621.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$263.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$181.97
Typical High
$346.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$208.93
Typical High
$426.58
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$645.65
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$97.72
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$4,168.69
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$162.18
Typical High
$323.59