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Diagnostic Esophagus Exam Through the Nose

New Mexico 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 $257 · 10th–90th $89$4,4670%10%10th90th$257Professionalmedian $178 · 10th–90th $79$2820%10%20%10th90th$178$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$109.65
Median
$309.03
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$177.83
Typical High
$275.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$3,388.44
Typical High
$5,623.41
BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$169.82
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$186.21
Typical High
$323.59
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$263.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$194.98
Typical High
$323.59
Providence
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$204.17
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$3,235.94
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$181.97
Typical High
$338.84