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Diagnostic Esophagus Exam Through the Nose

Tennessee 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 Tennessee, July 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $1,862 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 5 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$170$89.13 to $214
FacilityA hospital or hospital-owned outpatient department$1,862$871 to $2,570

How much rates vary

Facilitymedian $1,862 · 10th to 90th $417 to $3,981Professionalmedian $170 · 10th to 90th $79 to $288
$100$200$500$1K$2K$5Kfacility $1,862professional $170

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
$416.87
Median
$1,778.28
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$165.96
Typical High
$275.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$2,089.30
Typical High
$2,951.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$190.55
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$295.12
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$194.98
Typical High
$354.81
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$794.33
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,621.81
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$2,089.30
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$165.96
Typical High
$316.23

Where Tennessee 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.

Tennessee· 36th 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.