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Diagnostic Esophagus Exam Through the Nose

Utah 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?

$204

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $3,020 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$200$110 to $269
FacilityA hospital or hospital-owned outpatient department$3,020$1,349 to $3,981

How much rates vary

Facilitymedian $3,020 · 10th to 90th $110 to $4,571Professionalmedian $200 · 10th to 90th $83 to $427
$100$200$500$1K$2K$5Kfacility $3,020professional $200

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
$109.65
Median
$3,162.28
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$199.53
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$208.93
Typical High
$389.05
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$524.81
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,819.70
Typical High
$2,818.38
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$186.21
Typical High
$363.08
Select Health
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Select Health
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$177.83
Typical High
$489.78
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$251.19
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$4,466.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$165.96
Typical High
$281.84

Where Utah 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.

Utah· 8th of 51

$204

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.