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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.

How much does Diagnostic Esophagus Exam Through the Nose cost?

$195

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $195 for this service. Most negotiated rates run $91.20 to $209.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $195 · 10th to 90th $87 to $240
$100$200$500professional $195

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
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

Where Vermont 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.

Vermont· 15th of 51

$195

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.