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Alaska

Cost of a Upper Endoscopy Visit
in Alaska

Reviewed by Momentary Medical Group West PC

Alaska's remote geography and limited medical infrastructure create unique challenges for specialized care access, with many patients traveling hundreds of miles for procedures. Patients seeking Upper Endoscopy services typically pay between $105 and $759, with a median out-of-pocket cost of $275 based on negotiated insurance rates. Alaska maintains 37 active Upper Endoscopy providers serving the state's diverse communities, and patients can browse all available providers to find the most convenient and affordable option for their needs.

Average

$380

Median

$275

Lowest

$105

Highest

$759

Providers

37

National avg: $383Alaska: $380

1% below national average

Compare Similar Procedures

How does upper endoscopy (egd) compare to related procedures in Alaska?

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$80$80$648374
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$80$80$837375
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$80$80$3,638358
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$80$80$606373
ECG / EKG

12-lead electrocardiogram with interpretation

93000$14$80$95388
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$80$80$345372
OB Ultrasound

Obstetric ultrasound, complete

76805$51$328$991375

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 43235EGD, 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 Alaska

Alaska's healthcare costs run approximately 35% above national averages, driven by extreme geographic isolation and the highest cost of living in the nation. The state's unique challenges include weather-dependent transportation, limited infrastructure, and the need to import most medical supplies and recruit specialists from outside Alaska.

Urban vs. Rural Provider Availability

Alaska's 663,300 square miles contain only 37 Upper Endoscopy providers, creating stark access disparities between Anchorage-Fairbanks and rural communities. Patients in remote areas often face costly travel and overnight stays to reach specialists in urban centers. Bush communities rely heavily on telemedicine consultations and medical transport programs for specialty care access.

Facility Type and Overhead Costs

Hospital-based outpatient clinics in Alaska charge significantly higher facility fees than independent practices due to elevated operational costs including heating, staffing, and supply transportation. Providence Alaska Medical Center and Alaska Regional Hospital dominate Anchorage's specialty care market, while independent practices offer more competitive pricing. Rural hospitals often lack Upper Endoscopy capabilities, requiring patient transfers to urban facilities.

Insurance Market Competition in Alaska

Premera Blue Cross controls the majority of Alaska's individual and group insurance markets, limiting competitive pressure on negotiated rates with providers. The concentrated insurer market reduces administrative complexity for providers but may result in higher negotiated rates. Alaska's small population and geographic challenges make it difficult for new insurers to enter the market effectively.

Physician Supply and Demand in Alaska

With 37 active Upper Endoscopy providers serving a dispersed population of 733,000, Alaska maintains adequate specialist coverage in urban areas but significant shortages in rural regions. The limited provider supply allows specialists to command premium rates, particularly in Anchorage where most practices are located. Long wait times for non-urgent procedures reflect the supply-demand imbalance affecting pricing and access patterns.

JP

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.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Upper Endoscopy Costs in Alaska

What is the average cost of a Upper Endoscopy visit in Alaska without insurance?

Uninsured patients in Alaska typically pay between $105 and $759 for Upper Endoscopy services, with a median cost of $275 based on negotiated insurance rates. However, many providers offer cash-pay discounts that can reduce these costs by 30-50%. Alaska's high healthcare costs make shopping around and asking about self-pay discounts particularly important for uninsured patients.

Does Alaska Medicaid cover Upper Endoscopy visits?

Yes, Alaska Medicaid covers medically necessary Upper Endoscopy visits and procedures. Alaska expanded Medicaid in 2015, providing coverage for adults with incomes up to 138% of the federal poverty level. Prior authorization may be required for certain procedures, and patients should verify that their chosen provider accepts Alaska Medicaid before scheduling.

How do I find an affordable Upper Endoscopy near me in Alaska?

Compare costs between hospital-based clinics and independent practices, as independent providers often charge lower facility fees. Ask about cash-pay discounts and payment plans if you're uninsured or have a high deductible. Community health centers in Alaska may offer sliding scale fees based on income, and some providers participate in charity care programs for qualifying patients.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial Upper Endoscopy consultations typically involve more comprehensive evaluations and longer appointment times, resulting in higher costs than follow-up visits. The procedure itself (CPT 43235) costs between $105-$759 with a median of $275 in Alaska. Follow-up visits for established patients generally cost less as they focus on reviewing results and ongoing management rather than comprehensive initial evaluation.

Can I use an HSA or FSA to pay for a Upper Endoscopy visit in Alaska?

Yes, Upper Endoscopy visits and procedures qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). This includes consultation fees, procedure costs, and any related diagnostic tests. Using pre-tax HSA or FSA funds can provide significant savings, particularly important given Alaska's above-average healthcare costs.

How does telemedicine affect the cost of seeing a Upper Endoscopy in Alaska?

Telemedicine consultations with Upper Endoscopy specialists typically cost 20-40% less than in-person visits and are particularly valuable in Alaska where patients may face travel costs and time off work. While the actual endoscopy procedure must be performed in person, initial consultations and follow-up visits can often be conducted remotely. Alaska's improved telehealth infrastructure has made virtual specialist consultations more accessible for rural patients.

Click a state to compare costs

Average Visit Cost

$195
$1,697

Office visit (CPT 43235)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $130$4,430
$1,697
2Massachusetts
Range: $159$1,259
$625
3New Hampshire
Range: $288$813
$547
4Maine
Range: $333$583
$493
5Nebraska
Range: $176$691
$487
6Iowa
Range: $135$691
$473
7North Dakota
Range: $118$853
$440
8Wyoming
Range: $161$864
$438
9Georgia
Range: $119$830
$433
10North Carolina
Range: $120$853
$424
11West Virginia
Range: $93$889
$419
12Vermont
Range: $211$673
$415
13Minnesota
Range: $117$695
$408
14Washington
Range: $152$759
$408
15Rhode Island
Range: $109$718
$406
16Utah
Range: $98$627
$405
17New York
Range: $159$771
$401
18New Mexico
Range: $141$724
$391
19District of Columbia
Range: $115$701
$387
20Alaska
Range: $105$759
$380
21Connecticut
Range: $118$683
$367
22Indiana
Range: $90$691
$361
23Delaware
Range: $109$701
$361
24Pennsylvania
Range: $90$715
$360
25South Dakota
Range: $103$691
$356
26Missouri
Range: $115$535
$354
27New Jersey
Range: $74$758
$354
28Oregon
Range: $85$691
$346
29Maryland
Range: $109$666
$337
30Hawaii
Range: $82$636
$331
31Colorado
Range: $117$627
$329
32Kentucky
Range: $106$631
$328
33Michigan
Range: $121$572
$322
34Idaho
Range: $86$623
$316
35Illinois
Range: $118$534
$314
36South Carolina
Range: $109$564
$305
37Montana
Range: $90$581
$301
38Arkansas
Range: $90$535
$299
39Nevada
Range: $197$467
$297
40Virginia
Range: $95$551
$291
41Mississippi
Range: $101$544
$291
42Alabama
Range: $98$500
$279
43Texas
Range: $90$508
$276
44Louisiana
Range: $96$484
$270
45Tennessee
Range: $101$473
$266
46Oklahoma
Range: $85$521
$263
47Kansas
Range: $115$411
$262
48California
Range: $80$598
$254
49Ohio
Range: $77$474
$249
50Arizona
Range: $71$455
$233
51Florida
Range: $35$496
$195
Upper Endoscopy (EGD) in Other States