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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.

Facilitymedian $209 · 10th–90th $89$5,2480%10%10th90th$209Professionalmedian $178 · 10th–90th $81$3020%10%10th90th$178$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
$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