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Diagnostic Esophagus Exam Through the Nose

Connecticut 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 $4,571 · 10th–90th $2,138$8,5110%10%10th90th$4,571Professionalmedian $182 · 10th–90th $79$4070%10%10th90th$182$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
$2,754.23
Median
$4,677.35
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$177.83
Typical High
$323.59
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,162.28
Typical High
$11,748.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$229.09
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$331.13
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$239.88
Typical High
$489.78
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$323.59
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$5,495.41
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$218.78
Typical High
$478.63