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Diagnostic Esophagus Exam Through the Nose

South Carolina 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?

$178

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $251 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 6 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$178$93.33 to $219
FacilityA hospital or hospital-owned outpatient department$251$138 to $3,802

How much rates vary

Facilitymedian $251 · 10th to 90th $98 to $9,772Professionalmedian $178 · 10th to 90th $81 to $275
$100$500$2K$10Kfacility $251professional $178

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
$97.72
Median
$5,623.41
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$177.83
Typical High
$263.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,096.48
Typical High
$2,290.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$194.98
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$169.82
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$208.93
Typical High
$407.38
Medcost
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$190.55
Typical High
$338.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$4,897.79
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$162.18
Typical High
$316.23

Where South Carolina 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.

South Carolina· 39th of 51

$178

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.