go back

Diagnostic Esophagus Exam Through the Nose

Kentucky 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 $1,288 · 10th–90th $100$10,7150%10%10th90th$1,288Professionalmedian $135 · 10th–90th $72$2340%10%10th90th$135$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
$100.00
Median
$851.14
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$158.49
Typical High
$234.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$134.90
Typical High
$177.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$87.10
Typical High
$123.03
CareSource
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$91.20
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$123.03
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$208.93
Typical High
$954.99
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$1,445.44
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$165.96
Typical High
$302.00