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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.

Facilitymedian $2,239 · 10th–90th $138$6,4570%5%10%10th90th$2,239Professionalmedian $191 · 10th–90th $79$4790%10%10th90th$191$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$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