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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.

Facilitymedian $229 · 10th–90th $81$2,2910%5%10%10th90th$229Professionalmedian $186 · 10th–90th $76$4570%10%10th90th$186$100.0$200.0$500.0$1.0K$2.0K

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
$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