go back

Diagnostic Esophagus Exam Through the Nose

Rhode Island 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?

$174

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $2,399 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 4 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$174$102 to $234
FacilityA hospital or hospital-owned outpatient department$2,399$1,549 to $4,074

How much rates vary

Facilitymedian $2,399 · 10th to 90th $676 to $5,012Professionalmedian $174 · 10th to 90th $81 to $282
$100$200$500$1K$2K$5Kfacility $2,399professional $174

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
$1,513.56
Median
$1,548.82
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$173.78
Typical High
$234.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$194.98
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$208.93
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,398.83
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$173.78
Typical High
$316.23

Where Rhode Island 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.

Rhode Island· 44th of 51

$174

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.