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Diagnostic Esophagus Exam Through the Nose

Indiana 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 negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $4,074 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 5 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$158$85.11 to $200
FacilityA hospital or hospital-owned outpatient department$4,074$3,090 to $5,495

How much rates vary

Facilitymedian $4,074 · 10th to 90th $316 to $8,318Professionalmedian $158 · 10th to 90th $76 to $257
$100$200$500$1K$2K$5K$10Kfacility $4,074professional $158

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
$89.13
Median
$1,380.38
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$169.82
Typical High
$257.04
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,365.16
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$134.90
Typical High
$239.88
CareSource
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$81.28
Typical High
$91.20
CareSource
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$194.98
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$3,467.37
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$158.49
Typical High
$281.84

Where Indiana 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.

Indiana· 45th 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.