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Diagnostic Esophagus Exam Through the Nose

West 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 $186 · 10th–90th $83$1,4130%20%10th90th$186Professionalmedian $155 · 10th–90th $78$2400%10%10th90th$155$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$83.18
Median
$186.21
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$158.49
Typical High
$234.42
CareSource
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$107.15
CareSource
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$123.03
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$204.17
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$1,584.89
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$144.54
Typical High
$309.03