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Diagnostic Esophagus Exam Through the Nose

Michigan 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 negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $2,042 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 6 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$129$87.10 to $209
FacilityA hospital or hospital-owned outpatient department$2,042$933 to $4,898

How much rates vary

Facilitymedian $2,042 · 10th to 90th $166 to $4,898Professionalmedian $129 · 10th to 90th $78 to $240
$20.0$100.0$500.0$2.0K$10.0Kfacility $2,042professional $129

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
$104.71
Median
$2,041.74
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$158.49
Typical High
$239.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$21.38
Typical High
$21.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$104.71
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$186.21
Typical High
$338.84
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$524.81
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$186.21
Typical High
$263.03
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$295.12
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,819.70
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$173.78
Typical High
$302.00

Where Michigan sits

The same service costs 1.9 times more in Minnesota than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Michigan $158 · 49th of 51
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.