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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.

Facilitymedian $251 · 10th–90th $98$9,7720%5%10%10th90th$251Professionalmedian $178 · 10th–90th $81$2750%10%10th90th$178$50.0$200.0$1.0K$5.0K$20.0K

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
$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