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Diagnostic Esophagus Exam Through the Nose

North Carolina 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?

$229

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $200 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$229$138 to $316
FacilityA hospital or hospital-owned outpatient department$200$110 to $372

How much rates vary

Facilitymedian $200 · 10th to 90th $81 to $2,630Professionalmedian $229 · 10th to 90th $93 to $525
$100$200$500$1K$2K$5Kfacility $200professional $229

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
$131.83
Median
$707.95
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$177.83
Typical High
$346.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$660.69
Typical High
$741.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$239.88
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$239.88
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$213.80
Typical High
$416.87
Medcost
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$181.97
Typical High
$316.23
Medcost
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$2,041.74
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$158.49
Typical High
$295.12
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$794.33
Typical High
$794.33
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,621.81

Where North Carolina 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.

North Carolina· 4th of 51

$229

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.