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Diagnostic Esophagus Exam Through the Nose

Maryland 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?

$158

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $158 for this service. Most negotiated rates run $87.10 to $209.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $447 · 10th to 90th $138 to $1,288Professionalmedian $158 · 10th to 90th $79 to $282
$100$200$500$1K$2Kfacility $447professional $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
Professional
Modifier
Global
Typical Low
$79.43
Median
$169.82
Typical High
$257.04
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$85.11
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$141.25
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$186.21
Typical High
$363.08
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$223.87
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$467.74
Typical High
$1,288.25
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$169.82
Typical High
$331.13
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$239.88
Typical High
$302.00

Where Maryland 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.

Maryland· 48th of 51

$158

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.