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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.

How much does Diagnostic Esophagus Exam Through the Nose cost?

$195

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $1,445 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$178$91.20 to $224
FacilityA hospital or hospital-owned outpatient department$1,445$724 to $2,455

How much rates vary

Facilitymedian $1,445 · 10th to 90th $170 to $4,074Professionalmedian $178 · 10th to 90th $76 to $355
$100$200$500$1K$2K$5Kfacility $1,445professional $178

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
$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

Where Missouri 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.

Missouri· 18th 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.