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Diagnostic Esophagus Exam Through the Nose

Kansas 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 Kansas, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $1,660 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$178$117 to $263
FacilityA hospital or hospital-owned outpatient department$1,660$468 to $4,074

How much rates vary

Facilitymedian $1,660 · 10th to 90th $129 to $7,413Professionalmedian $178 · 10th to 90th $85 to $288
$100$200$500$1K$2K$5K$10Kfacility $1,660professional $178

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
$234.42
Median
$3,467.37
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$165.96
Typical High
$323.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$870.96
Typical High
$1,348.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$194.98
Typical High
$363.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$199.53
Typical High
$1,174.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$1,023.29
Typical High
$3,162.28
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$181.97
Typical High
$288.40

Where Kansas 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.

Kansas· 11th of 51

$200

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.