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Diagnostic Esophagus Exam Through the Nose

Montana 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 $209 · 10th–90th $115$3630%10%20%10th90th$209Professionalmedian $174 · 10th–90th $79$3800%10%10th90th$174$100.0$200.0$500.0$1.0K$2.0K

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
Professional
Modifier
Global
Typical Low
$79.43
Median
$169.82
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$199.53
Typical High
$407.38
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$288.40
Typical High
$346.74
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$288.40
Typical High
$346.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$204.17
Typical High
$407.38
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$204.17
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$208.93
Typical High
$354.81