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Upper Endoscopy

Cost of a Upper Endoscopy Visit:
$249-$547

How much does a upper endoscopy visit cost? The national median negotiated rate for CPT 43235 is $354, with rates ranging from $249 to $547 across 123,823 providers.

National Median

$354

Low End (P5)

$249

High End (P95)

$547

Providers

123,823

Upper Endoscopy Visit Costs by State

Click any state to see detailed upper endoscopy visit pricing. Colors represent the median negotiated rate for CPT 43235.

Median Visit Cost

$249
$547

Upper Endoscopy Visit Cost by State: All 50 States Ranked

States ranked from lowest to highest median upper endoscopy visit rate for CPT 43235 (EGD, diagnostic).

RankStateAverage
1Wisconsin
Range: $130$4,430
$529
2Massachusetts
Range: $159$1,259
$457
3New Hampshire
Range: $288$813
$541
4Maine
Range: $333$583
$562
5Nebraska
Range: $176$691
$594
6Iowa
Range: $135$691
$594
7North Dakota
Range: $118$853
$348
8Wyoming
Range: $161$864
$288
9Georgia
Range: $119$830
$350
10North Carolina
Range: $120$853
$298
11West Virginia
Range: $93$889
$274
12Vermont
Range: $211$673
$362
13Minnesota
Range: $117$695
$411
14Washington
Range: $152$759
$312
15Rhode Island
Range: $109$718
$391
16Utah
Range: $98$627
$491
17New York
Range: $159$771
$274
18New Mexico
Range: $141$724
$308
19District of Columbia
Range: $115$701
$345
20Alaska
Range: $105$759
$275
21Connecticut
Range: $118$683
$301
22Indiana
Range: $90$691
$304
23Delaware
Range: $109$701
$271
24Pennsylvania
Range: $90$715
$274
25South Dakota
Range: $103$691
$275
26Missouri
Range: $115$535
$411
27New Jersey
Range: $74$758
$229
28Oregon
Range: $85$691
$261
29Maryland
Range: $109$666
$236
30Hawaii
Range: $82$636
$276
31Colorado
Range: $117$627
$243
32Kentucky
Range: $106$631
$249
33Michigan
Range: $121$572
$274
34Idaho
Range: $86$623
$239
35Illinois
Range: $118$534
$290
36South Carolina
Range: $109$564
$243
37Montana
Range: $90$581
$231
38Arkansas
Range: $90$535
$272
39Nevada
Range: $197$467
$228
40Virginia
Range: $95$551
$228
41Mississippi
Range: $101$544
$229
42Alabama
Range: $98$500
$239
43Texas
Range: $90$508
$230
44Louisiana
Range: $96$484
$229
45Tennessee
Range: $101$473
$223
46Oklahoma
Range: $85$521
$184
47Kansas
Range: $115$411
$259
48California
Range: $80$598
$85
49Ohio
Range: $77$474
$195
50Arizona
Range: $71$455
$174
51Florida
Range: $35$496
$55

Frequently Asked Questions

How much does a upper endoscopy cost without insurance?

The average negotiated rate for a upper endoscopy (CPT 43235) is $383 nationally. Rates typically range from $249 to $547 depending on your state and provider. Without insurance, you may pay the provider's full charge rate, which can be 2-3x higher than negotiated rates.

How much does a upper endoscopy cost with insurance?

With insurance, your out-of-pocket cost for a upper endoscopy depends on your plan's copay, coinsurance, and whether you've met your deductible. The average insurer-negotiated rate is $383. Most plans charge a specialist copay of $30-$75, or you may owe a percentage (typically 20-30%) after your deductible is met.

Why do upper endoscopy costs vary by state?

Healthcare costs vary significantly by state due to differences in cost of living, provider supply and demand, state regulations, and negotiated rates between insurers and providers. Urban areas and states with higher costs of living (like New York and California) tend to have higher rates.

What does CPT code 43235 cover?

CPT 43235 is the billing code for: EGD, diagnostic. This is one of the standard codes used when billing for this procedure.

What factors affect the cost of a upper endoscopy?

Several factors influence the cost: (1) Your geographic location — rates vary 2-3x between states, (2) Whether you have insurance and which plan, (3) Whether the provider is in-network, (4) The complexity of your case, (5) The facility where the procedure is performed.

Get Your Personalized Cost Estimate

These are the negotiated rates providers across the US are contracted to accept. Your personal share depends on your deductible and coinsurance. Call your insurer's member line with CPT code 43235 to get your exact estimate or talk to our AI to get your answers.

Written by Jayant Panwar | Last reviewed: Q1 2026

Rates sourced from Transparency in Coverage machine-readable files (Q1 2026). Negotiated rates are contracted prices between insurers and individual providers and do not represent guaranteed patient out-of-pocket costs. Actual costs depend on insurance plan terms, deductible status, coinsurance rate, and specific services received.