go back

Diagnostic Esophagus Exam Through the Nose

Wisconsin 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 $2,818 · 10th–90th $123$5,6230%10%10th90th$2,818Professionalmedian $200 · 10th–90th $81$6460%5%10%10th90th$200$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
$89.13
Median
$213.80
Typical High
$1,905.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$177.83
Typical High
$323.59
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,090.30
Typical High
$5,754.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$257.04
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$602.56
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$295.12
Typical High
$812.83
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$194.98
Typical High
$2,818.38
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$269.15
Typical High
$524.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$199.53
Typical High
$4,265.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$371.54
Typical High
$1,412.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$4,265.80
Typical High
$4,570.88
Network Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$309.03
Typical High
$575.44
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$169.82
Typical High
$302.00
Quartz
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$257.04
Typical High
$645.65
Quartz
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$549.54
Typical High
$794.33
Quartz
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$363.08
Typical High
$1,380.38
Security Health
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$724.44
Security Health
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$602.56
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,548.13
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$218.78
Typical High
$588.84