go back

Diagnostic Esophagus Exam Through the Nose

Texas 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 $457 · 10th–90th $91$4,3650%5%10th90th$457Professionalmedian $166 · 10th–90th $78$2820%10%10th90th$166$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
$426.58
Median
$2,238.72
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$165.96
Typical High
$275.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$223.87
Typical High
$1,047.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$158.49
Typical High
$239.88
Christus
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$776.25
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$199.53
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$199.53
Typical High
$371.54
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$190.55
Typical High
$354.81
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$229.09
Typical High
$363.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$162.18
Providence
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$190.55
Typical High
$363.08
Providence
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$199.53
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,995.26
Typical High
$4,073.80
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$151.36
Typical High
$288.40
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$190.55
Typical High
$263.03