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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.

Facilitymedian $2,692 · 10th–90th $490$7,0790%10%10th90th$2,692Professionalmedian $178 · 10th–90th $81$3630%10%20%10th90th$178$10.0$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
$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