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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 October 2026.

How much does Diagnostic Esophagus Exam Through the Nose cost?

$182

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $1,349 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$178$102 to $240
FacilityA hospital or hospital-owned outpatient department$1,349$676 to $2,455

How much rates vary

Facilitymedian $1,349 · 10th to 90th $229 to $4,898Professionalmedian $178 · 10th to 90th $91 to $324
$100$200$500$1K$2K$5Kfacility $1,349professional $178

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$1,548.82
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$177.83
Typical High
$234.42
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$51.29
Median
$61.66
Typical High
$117.49
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$20.42
Median
$24.55
Typical High
$46.77
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$77.62
Median
$91.20
Typical High
$177.83
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$15.49
Median
$18.62
Typical High
$35.48
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$10.23
Median
$12.30
Typical High
$23.44
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$181.97
Typical High
$257.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$229.09
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$223.87
Typical High
$323.59
United
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$1,445.44
Typical High
$5,011.87
United
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$158.49
Typical High
$245.47

Where Rhode Island sits

The same service costs 3.7 times more in Alaska than in Maryland. 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· 30th of 51

$182

AK $355MD $95.50

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.