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Diagnostic Esophagus Exam Through the Nose

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $209 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 8 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$178$93.33 to $224
FacilityA hospital or hospital-owned outpatient department$209$102 to $2,042

How much rates vary

Facilitymedian $209 · 10th to 90th $89 to $5,248Professionalmedian $178 · 10th to 90th $81 to $302
$100$200$500$1K$2K$5K$10Kfacility $209professional $178

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
$141.25
Median
$2,818.38
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$169.82
Typical High
$239.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$173.78
Typical High
$316.23
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$87.10
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$147.91
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$194.98
Typical High
$363.08
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$234.42
Typical High
$489.78
Medcost
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$467.74
Typical High
$467.74
Medcost
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$181.97
Typical High
$338.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$302.00
Sentara
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$104.71
Typical High
$870.96
Sentara
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$239.88
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$2,754.23
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$158.49
Typical High
$323.59

Where Virginia 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.

Virginia· 38th 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.