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Diagnostic Esophagus Exam Through the Nose

Delaware 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 $2,291 · 10th–90th $100$7,2440%20%10th90th$2,291Professionalmedian $182 · 10th–90th $79$2510%10%20%10th90th$182$100.0$200.0$500.0$1.0K$2.0K$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$181.97
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$177.83
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$100.00
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$162.18
Typical High
$275.42