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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.

How much does Diagnostic Esophagus Exam Through the Nose cost?

$182

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $2,291 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 3 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$182$87.10 to $209
FacilityA hospital or hospital-owned outpatient department$2,291$155 to $3,236

How much rates vary

Facilitymedian $2,291 · 10th to 90th $100 to $7,244Professionalmedian $182 · 10th to 90th $79 to $251
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $2,291professional $182

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where Delaware 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.

Delaware $182 · 30th 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.