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Diagnostic Esophagus Exam Through the Nose

Oregon 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 $309 · 10th–90th $93$5130%20%10th90th$309Professionalmedian $209 · 10th–90th $87$4900%10%10th90th$209$100.0$500.0$2.0K$10.0K$50.0K$200.0K$1.0M

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
$204.17
Median
$2,089.30
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$194.98
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$229.09
Typical High
$478.63
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$208.93
Typical High
$478.63
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$194.98
Typical High
$389.05
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$309.03
Typical High
$478.63
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$371.54
Typical High
$380.19
Providence
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$190.55
Typical High
$398.11
Providence
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$223.87
Typical High
$489.78
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,951.21
Typical High
$3,715.35
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$288.40
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$2,754.23
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$234.42
Typical High
$489.78