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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.

Facilitymedian $3,311 · 10th–90th $646$10,7150%5%10th90th$3,311Professionalmedian $158 · 10th–90th $74$2750%10%10th90th$158$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
$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