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Diagnostic Esophagus Exam Through the Nose

Oklahoma 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?

$195

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $1,445 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 5 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$85.11 to $204
FacilityA hospital or hospital-owned outpatient department$1,445$891 to $2,188

How much rates vary

Facilitymedian $1,445 · 10th to 90th $204 to $3,890Professionalmedian $166 · 10th to 90th $78 to $275
$100$200$500$1K$2K$5K$10Kfacility $1,445professional $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
$204.17
Median
$1,380.38
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$162.18
Typical High
$234.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,548.82
Typical High
$2,187.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$181.97
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$199.53
Typical High
$295.12
Medica
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$204.17
Typical High
$2,570.40
Medica
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$229.09
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$1,862.09
Typical High
$3,235.94
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$147.91
Typical High
$275.42

Where Oklahoma 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.

Oklahoma· 17th of 51

$195

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.