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Diagnostic Esophagus Exam Through the Nose

Nevada 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 Nevada, July 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $1,698 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$170$87.10 to $209
FacilityA hospital or hospital-owned outpatient department$1,698$204 to $3,467

How much rates vary

Facilitymedian $1,698 · 10th to 90th $87 to $4,365Professionalmedian $170 · 10th to 90th $79 to $288
$100$200$500$1K$2K$5K$10Kfacility $1,698professional $170

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
$87.10
Median
$1,698.24
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$169.82
Typical High
$239.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$3,467.37
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$173.78
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$186.21
Typical High
$331.13
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$114.82
Typical High
$257.04
Hometown Health
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$295.12
Select Health
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$177.83
Typical High
$194.98
Select Health
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$64.57
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$1,071.52
Typical High
$3,630.78
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$173.78
Typical High
$316.23

Where Nevada 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.

Nevada· 40th 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.