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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.

Facilitymedian $3,020 · 10th–90th $110$4,5710%10%10th90th$3,020Professionalmedian $200 · 10th–90th $83$4270%10%10th90th$200$50.0$100.0$200.0$500.0$1.0K$2.0K$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
$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