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Diagnostic Esophagus Exam Through the Nose

Louisiana 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?

$195

Typical negotiated rate. In Louisiana, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $1,288 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$170$97.72 to $234
FacilityA hospital or hospital-owned outpatient department$1,288$776 to $2,692

How much rates vary

Facilitymedian $1,288 · 10th to 90th $263 to $3,467Professionalmedian $170 · 10th to 90th $79 to $309
$100$200$500$1K$2K$5Kfacility $1,288professional $170

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
$257.04
Median
$1,288.25
Typical High
$3,467.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$169.82
Typical High
$295.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,737.80
Typical High
$3,235.94
BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$158.49
Typical High
$295.12
Christus
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$776.25
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$524.81
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$204.17
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,348.96
Typical High
$3,630.78
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$162.18
Typical High
$309.03

Where Louisiana 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.

Louisiana· 19th of 51

$195

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.