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Diagnostic Esophagus Exam Through the Nose

Wyoming 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 October 2026.

How much does Diagnostic Esophagus Exam Through the Nose cost?

$331

Typical negotiated rate. In Wyoming, October 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $977 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$331$214 to $398
FacilityA hospital or hospital-owned outpatient department$977$479 to $977

How much rates vary

Facilitymedian $977 · 10th to 90th $339 to $1,445Professionalmedian $331 · 10th to 90th $126 to $776
$100$200$500$1K$2K$5Kfacility $977professional $331

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$199.53
Aetna
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$109.65
Typical High
$199.53
BCBS Wyoming
Setting
Facility
Modifier
None
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$398.11
Typical High
$776.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$338.84
Typical High
$478.63
Cigna
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$213.80
Typical High
$380.19
United
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$1,288.25
Typical High
$5,370.32
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$245.47
Typical High
$436.52
5 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$41.69
Median
$54.95
Typical High
$100.00
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$16.60
Median
$21.88
Typical High
$39.81
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$61.66
Median
$83.18
Typical High
$147.91
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$12.30
Median
$16.60
Typical High
$30.20
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$8.32
Median
$10.96
Typical High
$19.95

Where Wyoming sits

The same service costs 3.7 times more in Alaska than in Maryland. 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.

Wyoming· 3rd of 51

$331

AK $355MD $95.50

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.