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Diagnostic Esophagus Exam Through the Nose

Vermont 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.

Professionalmedian $195 · 10th–90th $87$2400%20%10th90th$195$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
Professional
Modifier
Global
Typical Low
$87.10
Median
$114.82
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$194.98
Typical High
$380.19
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$263.03
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$223.87
Typical High
$407.38