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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.

Facilitymedian $1,660 · 10th–90th $129$7,4130%5%10th90th$1,660Professionalmedian $178 · 10th–90th $85$2880%10%10th90th$178$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
$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