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Diagnostic Esophagus Exam Through the Nose

Iowa 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?

$200

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $2,239 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 8 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$191$120 to $324
FacilityA hospital or hospital-owned outpatient department$2,239$251 to $3,802

How much rates vary

Facilitymedian $2,239 · 10th to 90th $138 to $6,457Professionalmedian $191 · 10th to 90th $79 to $479
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $2,239professional $191

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
$323.59
Median
$3,388.44
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$177.83
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$229.09
Typical High
$501.19
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$281.84
Typical High
$524.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$251.19
Typical High
$2,398.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$363.08
Typical High
$1,412.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$354.81
Typical High
$524.81
Midlands
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$371.54
Typical High
$524.81
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$173.78
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,398.83
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$204.17
Typical High
$457.09
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$173.78
Typical High
$478.63

Where Iowa sits

The same service costs 1.9 times more in Minnesota than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Iowa $200 · 9th of 51
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.