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Diagnostic Esophagus Exam Through the Nose

Idaho 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?

$195

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $269 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$182$110 to $288
FacilityA hospital or hospital-owned outpatient department$269$158 to $1,023

How much rates vary

Facilitymedian $269 · 10th to 90th $100 to $3,467Professionalmedian $182 · 10th to 90th $83 to $372
$100$200$500$1K$2K$5Kfacility $269professional $182

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
$1,412.54
Median
$4,466.84
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$181.97
Typical High
$309.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$1,318.26
Typical High
$2,344.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$275.42
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$204.17
Typical High
$338.84
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$204.17
Typical High
$478.63
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$213.80
Typical High
$398.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$181.97
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,949.84
Typical High
$2,951.21
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$190.55
Typical High
$380.19
Select Health
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$186.21
Typical High
$2,398.83
Select Health
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$154.88
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$6,165.95
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$181.97
Typical High
$338.84

Where Idaho 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.

Idaho· 20th of 51

$195

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.