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Diagnostic Esophagus Exam Through the Nose

Colorado 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?

$191

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $2,692 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 7 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$178$89.13 to $219
FacilityA hospital or hospital-owned outpatient department$2,692$219 to $4,677

How much rates vary

Facilitymedian $2,692 · 10th to 90th $98 to $6,310Professionalmedian $178 · 10th to 90th $79 to $295
$50.0$200.0$1.0K$5.0Kfacility $2,692professional $178

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
$199.53
Median
$3,981.07
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$177.83
Typical High
$275.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$3,388.44
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$169.82
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$891.25
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$194.98
Typical High
$354.81
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$181.97
Typical High
$331.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$204.17
Typical High
$549.54
Select Health
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$138.04
Typical High
$426.58
Select Health
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$87.10
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$3,235.94
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$181.97
Typical High
$354.81

Where Colorado sits

The same service costs 1.9 times more in Minnesota than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Colorado $191 · 24th of 51
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.