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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.

How much does Diagnostic Esophagus Exam Through the Nose cost?

$219

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $309 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$209$148 to $380
FacilityA hospital or hospital-owned outpatient department$309$182 to $380

How much rates vary

Facilitymedian $309 · 10th to 90th $93 to $513Professionalmedian $209 · 10th to 90th $87 to $490
$100$200$500$1K$2K$5Kfacility $309professional $209

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
$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

Where Oregon 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.

Oregon· 7th of 51

$219

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.