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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.

How much does Diagnostic Esophagus Exam Through the Nose cost?

$170

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $170 for this service. Most negotiated rates run $85.11 to $209.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,884 · 10th to 90th $1,000 to $2,884Professionalmedian $170 · 10th to 90th $78 to $251
$100$200$500$1K$2Kfacility $2,884professional $170

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
$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

Where Hawaii 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.

Hawaii· 46th 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.