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Diagnostic Esophagus Exam Through the Nose

Illinois 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 $1,259 · 10th–90th $158$5,1290%5%10th90th$1,259Professionalmedian $178 · 10th–90th $81$3390%10%10th90th$178$50.0$200.0$1.0K$5.0K

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
$158.49
Median
$1,258.93
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$177.83
Typical High
$331.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$1,230.27
Typical High
$1,659.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$190.55
Typical High
$269.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$251.19
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$199.53
Typical High
$371.54
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$316.23
Typical High
$676.08
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$104.71
Typical High
$257.04
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,949.84
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$181.97
Typical High
$346.74