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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.

How much does Diagnostic Esophagus Exam Through the Nose cost?

$200

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $3,388 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$178$95.50 to $275
FacilityA hospital or hospital-owned outpatient department$3,388$316 to $7,943

How much rates vary

Facilitymedian $3,388 · 10th to 90th $135 to $13,490Professionalmedian $178 · 10th to 90th $81 to $427
$100$500$2K$10Kfacility $3,388professional $178

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
$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

Where Nebraska 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.

Nebraska· 14th of 51

$200

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.