Cost of a Upper Endoscopy Visit
in Arizona
Reviewed by Momentary Medical Group West PC
Arizona's ambulatory surgery center network has expanded significantly over the past decade, creating competitive pricing for diagnostic procedures like Upper Endoscopy. Patients typically pay between $71 and $455 for an Upper Endoscopy procedure, with a median negotiated rate of $174 among the state's 5,070 active providers. Arizona's robust healthcare infrastructure spans from major medical centers in Phoenix and Tucson to specialized gastroenterology practices throughout the state, giving patients numerous options to browse all Upper Endoscopy providers in Arizona.
Average
$233
Median
$174
Lowest
$71
Highest
$455
Providers
5,070
39% below national average
Compare Similar Procedures
How does upper endoscopy (egd) compare to related procedures in Arizona?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $155 | $273 | $472 | 5,125 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $85 | $233 | $567 | 5,479 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $213 | $367 | $715 | 5,353 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $81 | $161 | $493 | 6,206 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $16 | $80 | 6,498 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $60 | $110 | $264 | 6,403 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $51 | $92 | $178 | 5,607 |
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 Arizona
Arizona's healthcare costs run approximately 5% above the national average, driven by rapid population growth and a competitive ambulatory surgery center market. The state's unique geography creates significant cost disparities between urban medical hubs and rural frontier communities.
Urban vs. Rural Provider Availability
The Phoenix-Mesa-Scottsdale metropolitan area and Tucson concentrate most of Arizona's Upper Endoscopy specialists, while rural counties like Greenlee and La Paz have limited gastroenterology access. Patients in remote areas often travel 2-3 hours for procedures, with some choosing facilities in Phoenix or Tucson for cost savings despite the distance. This geographic concentration allows urban providers to maintain higher procedure volumes and potentially lower per-case costs.
Facility Type and Overhead Costs
Arizona's robust ambulatory surgery center network competes directly with hospital outpatient departments, typically offering 20-30% lower facility fees for Upper Endoscopy procedures. Major health systems like Banner Health and Dignity Health operate hospital-based endoscopy centers with higher overhead costs, while independent gastroenterology practices often partner with dedicated ASCs. The state's favorable ASC regulations have encouraged facility development, particularly in the Phoenix and Tucson markets.
Insurance Market Competition in Arizona
UnitedHealth Group, Blue Cross Blue Shield of Arizona, and Aetna compete aggressively for market share, resulting in varied negotiated rates for Upper Endoscopy procedures across different plans. The state's competitive insurance environment has generally kept rate increases moderate compared to less competitive markets. Arizona's participation in the federal marketplace has added additional insurers in some regions, further diversifying negotiated rate structures.
Physician Supply and Demand in Arizona
Arizona's 5,070 active Upper Endoscopy providers represent a healthy supply relative to the state's population, though distribution heavily favors urban areas. This adequate provider supply in metropolitan areas helps maintain competitive pricing and shorter wait times for non-urgent procedures. Rural areas face physician shortages that can drive up costs and extend scheduling delays, leading some patients to seek care in urban centers.
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 Arizona
What is the average cost of a Upper Endoscopy visit in Arizona without insurance?
Does Arizona Medicaid cover Upper Endoscopy visits?
How do I find an affordable Upper Endoscopy near me in Arizona?
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 Arizona?
How does telemedicine affect the cost of seeing a Upper Endoscopy in Arizona?
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 |