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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.

Facilitymedian $2,399 · 10th–90th $676$5,0120%10%10th90th$2,399Professionalmedian $174 · 10th–90th $81$2820%10%20%10th90th$174$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$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