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Diagnostic Esophagus Exam Through the Nose

Maine 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 physician fee. In Maine, July 2026.

Insurers have agreed to pay about $200 for this service. Most negotiated rates run $100 to $257.

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 $692 · 10th to 90th $692 to $692Professionalmedian $200 · 10th to 90th $85 to $437
$100$200$500facility $692professional $200

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$169.82
Typical High
$234.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$177.83
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$218.78
Typical High
$436.52
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$229.09
Typical High
$501.19
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$165.96
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$199.53
Typical High
$436.52

Where Maine 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.

Maine· 12th 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.