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Diagnostic Esophagus Exam Through the Nose

Ohio 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 Ohio, July 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $2,291 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 8 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$166$87.10 to $209
FacilityA hospital or hospital-owned outpatient department$2,291$603 to $3,715

How much rates vary

Facilitymedian $2,291 · 10th to 90th $195 to $10,233Professionalmedian $166 · 10th to 90th $79 to $282
$100$200$500$1K$2K$5K$10Kfacility $2,291professional $166

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
$181.97
Median
$2,630.27
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$173.78
Typical High
$281.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$2,187.76
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$151.36
Typical High
$263.03
CareSource
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$87.10
Typical High
$162.18
CareSource
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$190.55
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$199.53
Typical High
$363.08
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$190.55
Typical High
$602.56
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$199.53
Typical High
$363.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$54.95
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$186.21
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$2,089.30
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$158.49
Typical High
$302.00

Where Ohio 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.

Ohio· 42nd 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.