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Diagnostic Esophagus Exam Through the Nose

New York 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 $3,090 · 10th–90th $178$7,4130%10%10th90th$3,090Professionalmedian $200 · 10th–90th $83$5010%10%10th90th$200$50.0$200.0$1.0K$5.0K$20.0K

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
$117.49
Median
$2,754.23
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$177.83
Typical High
$323.59
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,630.78
Typical High
$5,011.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$177.83
Typical High
$380.19
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$1,258.93
Typical High
$4,073.80
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$229.09
Typical High
$645.65
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$263.03
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$295.12
Typical High
$436.52
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$251.19
Typical High
$398.11
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$275.42
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,467.37
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$295.12
Typical High
$851.14
Univera
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$97.72
Typical High
$162.18
Univera
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$218.78
Typical High
$363.08