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Diagnostic Esophagus Exam Through the Nose

Nebraska 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 $3,388 · 10th–90th $135$13,4900%5%10%10th90th$3,388Professionalmedian $178 · 10th–90th $81$4270%10%10th90th$178$100.0$500.0$2.0K$10.0K

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
$2,187.76
Median
$6,025.60
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$177.83
Typical High
$426.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$4,073.80
Typical High
$7,943.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$169.82
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$269.15
Typical High
$537.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$177.83
Typical High
$457.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$398.11
Typical High
$1,412.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$354.81
Typical High
$537.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$316.23
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$1,380.38
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$213.80
Typical High
$457.09