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Diagnostic Esophagus Exam Through the Nose

Hawaii 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 $2,884 · 10th–90th $1,000$2,8840%50%10th$2,884Professionalmedian $170 · 10th–90th $78$2510%10%20%10th90th$170$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$1,000.00
Median
$2,884.03
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$165.96
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$223.87
Typical High
$426.58
HMSA
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$281.84
Typical High
$316.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$213.80
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$177.83
Typical High
$275.42
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$107.15
Typical High
$1,819.70