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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.

Facilitymedian $200 · 10th–90th $81$2,6300%5%10%10th90th$200Professionalmedian $229 · 10th–90th $93$5250%10%10th90th$229$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
$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