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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.

Facilitymedian $1,862 · 10th–90th $417$3,9810%10%10th90th$1,862Professionalmedian $170 · 10th–90th $79$2880%10%10th90th$170$50.0$200.0$1.0K$5.0K

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
$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