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Diagnostic Esophagus Exam Through the Nose

Florida 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?

$170

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $3,311 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$158$85.11 to $209
FacilityA hospital or hospital-owned outpatient department$3,311$1,514 to $6,607

How much rates vary

Facilitymedian $3,311 · 10th to 90th $646 to $10,715Professionalmedian $158 · 10th to 90th $74 to $275
$50$200$1K$5Kfacility $3,311professional $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
$602.56
Median
$3,388.44
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$162.18
Typical High
$269.15
AvMed
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$2,818.38
Typical High
$11,220.18
AvMed
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$162.18
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$144.54
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$186.21
Typical High
$363.08
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,311.31
Typical High
$7,244.36
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$173.78
Typical High
$229.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$61.66
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$3,090.30
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$147.91
Typical High
$295.12
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$147.91
Typical High
$204.17

Where Florida sits

The same service costs 1.9 times more in Minnesota than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Florida· 47th of 51

$170

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.