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Diagnostic Esophagus Exam Through the Nose

Washington, DC 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 physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $178 for this service. Most negotiated rates run $93.33 to $224.

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.

How much rates vary

Facilitymedian $2,754 · 10th to 90th $93 to $7,762Professionalmedian $158 · 10th to 90th $79 to $234
$100.0$500.0$2.0K$10.0Kfacility $2,754professional $158

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
$93.33
Median
$2,754.23
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$123.03
Typical High
$234.42
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$87.10
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$194.98
Typical High
$436.52
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$223.87
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$3,981.07
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$173.78
Typical High
$389.05

Where Washington, DC 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.

Washington, DC $178 · 37th 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.