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Diagnostic Esophagus Exam Through the Nose

North Dakota 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 $186 · 10th–90th $76$1,9950%20%10th90th$186Professionalmedian $195 · 10th–90th $81$4680%10%20%10th90th$195$50.0$100.0$200.0$500.0$1.0K$2.0K$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
$75.86
Median
$186.21
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$177.83
Typical High
$218.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$229.09
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$234.42
Typical High
$524.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$194.98
Typical High
$398.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$323.59
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,819.70
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$181.97
Typical High
$398.11