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Diagnostic Esophagus Exam Through the Nose

Georgia 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?

$195

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $2,692 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$178$97.72 to $245
FacilityA hospital or hospital-owned outpatient department$2,692$1,259 to $4,365

How much rates vary

Facilitymedian $2,692 · 10th to 90th $490 to $7,079Professionalmedian $178 · 10th to 90th $81 to $363
$100$200$500$1K$2K$5K$10Kfacility $2,692professional $178

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
$199.53
Median
$4,365.16
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$177.83
Typical High
$281.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$2,089.30
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$199.53
Typical High
$380.19
CareSource
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$501.19
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$199.53
Typical High
$407.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$199.53
Typical High
$436.52
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$302.00
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$2,137.96
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$181.97
Typical High
$363.08

Where Georgia 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.

Georgia· 21st of 51

$195

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.