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Diagnostic Esophagus Exam Through the Nose

Missouri 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 $1,445 · 10th–90th $170$4,0740%5%10th90th$1,445Professionalmedian $178 · 10th–90th $76$3550%10%10th90th$178$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
$177.83
Median
$2,344.23
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$177.83
Typical High
$426.58
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,412.54
Typical High
$3,235.94
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$158.49
Typical High
$288.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$190.55
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$2,691.53
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$194.98
Typical High
$363.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$186.21
Typical High
$562.34
Medica
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$302.00
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,380.38
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$173.78
Typical High
$331.13