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Diagnostic Esophagus Exam Through the Nose

Washington 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 $302 · 10th–90th $117$4,4670%5%10%10th90th$302Professionalmedian $191 · 10th–90th $81$4370%10%10th90th$191$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$162.18
Median
$512.86
Typical High
$13,489.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$181.97
Typical High
$436.52
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,884.03
Typical High
$5,011.87
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$263.03
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$501.19
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$229.09
Typical High
$489.78
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$234.42
Typical High
$616.60
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$204.17
Typical High
$426.58
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$56.23
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$371.54
Typical High
$380.19
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$263.03
Typical High
$263.03
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$263.03
Typical High
$478.63
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,691.53
Typical High
$4,897.79
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$263.03
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$2,818.38
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$204.17
Typical High
$407.38
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$190.55
Typical High
$288.40