Cost of a Upper Endoscopy Visit
in Alabama
Reviewed by Momentary Medical Group West PC
Alabama's healthcare market features approximately 21% lower Upper Endoscopy costs compared to the national average, with Blue Cross Blue Shield Alabama's market dominance helping stabilize pricing across the state. Patients typically pay between $98 and $500 for an Upper Endoscopy procedure, with a median negotiated rate of $239 based on transparency data from over 2,300 active providers. Alabama residents can browse all Upper Endoscopy specialists across the state to find affordable, in-network care that fits their budget and insurance plan.
Average
$279
Median
$239
Lowest
$98
Highest
$500
Providers
2,364
27% below national average
Compare Similar Procedures
How does upper endoscopy (egd) compare to related procedures in Alabama?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $147 | $323 | $649 | 2,390 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $372 | $762 | 2,672 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $412 | $870 | 2,649 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $269 | $566 | 2,667 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $11 | $19 | $80 | 2,739 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $60 | $148 | $329 | 2,687 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $39 | $81 | $189 | 2,668 |
Important: These are cost estimates only — not a quote and not medical advice.
The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 43235 — EGD, diagnostic). They represent what a patient might pay without insurance.
Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.
This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.
Where this data comes from & what CPT 43235 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 43235 (EGD, diagnostic), as mandated by the CMS Price Transparency Rule.
What CPT 43235 covers: the provider's professional fee for upper endoscopy (egd). It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.
How to read this data
Negotiated Rate
The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.
P5, Median, P95
P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.
What this does not tell you
These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.
Why Upper Endoscopy Visit Costs Vary Across Alabama
Alabama's healthcare costs run approximately 8% below national averages, reflecting the state's lower cost of living and less competitive insurance market dominated by a single major payer. The state's mix of urban medical centers in Birmingham, Mobile, and Huntsville contrasts sharply with rural counties where specialist access remains limited and travel costs add to patient expenses.
Urban vs. Rural Provider Availability
Alabama's 67 counties show dramatic disparities in Upper Endoscopy access, with Birmingham and the Tennessee Valley offering multiple specialists while rural counties in the Black Belt and southeastern regions often have no local gastroenterologists. Patients in rural areas frequently travel 50-100 miles to Birmingham or Montgomery for procedures, adding transportation and lodging costs to their total expenses. This geographic maldistribution contributes to delayed diagnosis and more advanced disease presentations in underserved regions.
Facility Type and Overhead Costs
Hospital-based outpatient endoscopy centers in Alabama typically charge 30-50% more than independent ambulatory surgery centers due to higher facility fees and administrative overhead. Major health systems like UAB Medicine, Baptist Health, and Huntsville Hospital dominate urban markets and often maintain premium pricing structures. Independent gastroenterology groups with their own endoscopy suites can offer more competitive cash-pay rates and flexible payment arrangements.
Insurance Market Competition in Alabama
Blue Cross Blue Shield Alabama's dominant market position across most of the state limits competitive pressure that might drive down negotiated rates for specialty procedures. The individual marketplace offers limited insurer choices, reducing the pricing competition seen in states with multiple major carriers. This concentrated market structure provides stability but may result in higher costs compared to more competitive insurance environments.
Physician Supply and Demand in Alabama
With over 2,300 Upper Endoscopy providers statewide, Alabama maintains adequate specialist availability in urban areas but faces significant shortages in rural regions. The concentration of gastroenterologists in Birmingham, Mobile, and Huntsville creates competitive pricing in these markets while leaving outlying areas dependent on visiting specialists or telemedicine consultations. This supply imbalance affects both wait times and pricing, with rural patients often paying premium rates for limited local access.
Jayant Panwar
CEO, Momentary Labs · San Francisco, CA
Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.
The cost figures on this page reflect his ongoing work to make this data accessible to patients.
Frequently Asked Questions — Upper Endoscopy Costs in Alabama
What is the average cost of a Upper Endoscopy visit in Alabama without insurance?
Does Alabama Medicaid cover Upper Endoscopy visits?
How do I find an affordable Upper Endoscopy near me in Alabama?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Upper Endoscopy visit in Alabama?
How does telemedicine affect the cost of seeing a Upper Endoscopy in Alabama?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 43235)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $130 – $4,430 | $1,697 |
| 2 | Massachusetts Range: $159 – $1,259 | $625 |
| 3 | New Hampshire Range: $288 – $813 | $547 |
| 4 | Maine Range: $333 – $583 | $493 |
| 5 | Nebraska Range: $176 – $691 | $487 |
| 6 | Iowa Range: $135 – $691 | $473 |
| 7 | North Dakota Range: $118 – $853 | $440 |
| 8 | Wyoming Range: $161 – $864 | $438 |
| 9 | Georgia Range: $119 – $830 | $433 |
| 10 | North Carolina Range: $120 – $853 | $424 |
| 11 | West Virginia Range: $93 – $889 | $419 |
| 12 | Vermont Range: $211 – $673 | $415 |
| 13 | Minnesota Range: $117 – $695 | $408 |
| 14 | Washington Range: $152 – $759 | $408 |
| 15 | Rhode Island Range: $109 – $718 | $406 |
| 16 | Utah Range: $98 – $627 | $405 |
| 17 | New York Range: $159 – $771 | $401 |
| 18 | New Mexico Range: $141 – $724 | $391 |
| 19 | District of Columbia Range: $115 – $701 | $387 |
| 20 | Alaska Range: $105 – $759 | $380 |
| 21 | Connecticut Range: $118 – $683 | $367 |
| 22 | Indiana Range: $90 – $691 | $361 |
| 23 | Delaware Range: $109 – $701 | $361 |
| 24 | Pennsylvania Range: $90 – $715 | $360 |
| 25 | South Dakota Range: $103 – $691 | $356 |
| 26 | Missouri Range: $115 – $535 | $354 |
| 27 | New Jersey Range: $74 – $758 | $354 |
| 28 | Oregon Range: $85 – $691 | $346 |
| 29 | Maryland Range: $109 – $666 | $337 |
| 30 | Hawaii Range: $82 – $636 | $331 |
| 31 | Colorado Range: $117 – $627 | $329 |
| 32 | Kentucky Range: $106 – $631 | $328 |
| 33 | Michigan Range: $121 – $572 | $322 |
| 34 | Idaho Range: $86 – $623 | $316 |
| 35 | Illinois Range: $118 – $534 | $314 |
| 36 | South Carolina Range: $109 – $564 | $305 |
| 37 | Montana Range: $90 – $581 | $301 |
| 38 | Arkansas Range: $90 – $535 | $299 |
| 39 | Nevada Range: $197 – $467 | $297 |
| 40 | Virginia Range: $95 – $551 | $291 |
| 41 | Mississippi Range: $101 – $544 | $291 |
| 42 | Alabama Range: $98 – $500 | $279 |
| 43 | Texas Range: $90 – $508 | $276 |
| 44 | Louisiana Range: $96 – $484 | $270 |
| 45 | Tennessee Range: $101 – $473 | $266 |
| 46 | Oklahoma Range: $85 – $521 | $263 |
| 47 | Kansas Range: $115 – $411 | $262 |
| 48 | California Range: $80 – $598 | $254 |
| 49 | Ohio Range: $77 – $474 | $249 |
| 50 | Arizona Range: $71 – $455 | $233 |
| 51 | Florida Range: $35 – $496 | $195 |