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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.

How much does Diagnostic Esophagus Exam Through the Nose cost?

$178

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $257 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$89.13 to $224
FacilityA hospital or hospital-owned outpatient department$257$123 to $1,778

How much rates vary

Facilitymedian $257 · 10th to 90th $89 to $4,467Professionalmedian $178 · 10th to 90th $79 to $282
$100$1K$10Kfacility $257professional $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
$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

Where New Mexico 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.

New Mexico· 41st of 51

$178

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.