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Diagnostic Esophagus Exam Through the Nose

South Dakota 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?

$186

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $229 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 7 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$186$138 to $316
FacilityA hospital or hospital-owned outpatient department$229$145 to $457

How much rates vary

Facilitymedian $229 · 10th to 90th $81 to $2,291Professionalmedian $186 · 10th to 90th $76 to $457
$100$200$500$1K$2Kfacility $229professional $186

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
$81.28
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$165.96
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$234.42
Typical High
$575.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$223.87
Typical High
$478.63
Medica
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$316.23
Typical High
$1,412.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$199.53
Typical High
$426.58
Midlands
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$380.19
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$229.09
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$213.80
Typical High
$426.58
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$173.78
Typical High
$501.19

Where South Dakota 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 Dakota· 26th of 51

$186

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.