Cost of a Upper Endoscopy Visit
in Connecticut
Reviewed by Momentary Medical Group West PC
Connecticut's healthcare costs run approximately 14% above the national average, reflecting the state's concentration of academic medical centers and specialty providers. For Upper Endoscopy procedures in Connecticut, patients typically pay between $117 and $683, with a median negotiated rate of $301 based on insurer agreements with 414 active providers statewide. Connecticut residents have access to Upper Endoscopy specialists across major health systems including Yale New Haven Health, Hartford HealthCare, and Trinity Health Of New England, with patients able to browse all providers throughout the state.
Average
$367
Median
$301
Lowest
$118
Highest
$683
Providers
414
4% below national average
Compare Similar Procedures
How does upper endoscopy (egd) compare to related procedures in Connecticut?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $90 | $323 | $1,830 | 426 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $85 | $475 | $2,117 | 445 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $213 | $525 | $2,338 | 437 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $85 | $402 | $1,647 | 461 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $63 | $93 | 1,940 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $64 | $127 | $677 | 1,444 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $45 | $70 | $328 | 895 |
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 Connecticut
Connecticut's healthcare costs run approximately 14% above the national average, driven by the state's high concentration of academic medical centers and its proximity to expensive metropolitan markets in New York and Boston. The small geographic size of the state means most residents have access to specialized care, but this concentration of high-end providers contributes to higher overall procedure costs.
Urban vs. Rural Provider Availability
Connecticut's urban corridors around Hartford, New Haven, and Bridgeport offer multiple gastroenterology options with competitive pricing, while residents in eastern Connecticut may have fewer choices and longer travel distances. The Quiet Corner region relies heavily on providers affiliated with Hartford HealthCare or Day Kimball Healthcare, which can limit competition. Most complex endoscopic procedures are concentrated in the I-95 and I-91 corridors where major health systems are located.
Facility Type and Overhead Costs
Connecticut's healthcare landscape is dominated by large health systems like Yale New Haven Health and Hartford HealthCare, whose hospital-based endoscopy centers typically charge higher facility fees than independent ambulatory surgery centers. Academic medical centers command premium pricing due to their teaching missions and research activities, while community hospitals and freestanding endoscopy centers often offer more competitive rates. The state's high real estate costs and labor expenses contribute to elevated overhead across all facility types.
Insurance Market Competition in Connecticut
Anthem, Cigna, and UnitedHealthcare compete actively in Connecticut's individual and group insurance markets, helping to moderate negotiated rates for specialist procedures like Upper Endoscopy. The state's Access Health CT marketplace offers multiple plan options, creating additional pressure on insurers to maintain competitive provider networks. However, Connecticut's small market size can limit insurers' negotiating power with large health systems, sometimes resulting in higher rates than in larger states.
Physician Supply and Demand in Connecticut
With 414 active Upper Endoscopy providers serving a population of 3.6 million, Connecticut has a relatively high density of gastroenterologists compared to national averages, particularly around major medical centers. This adequate supply helps maintain reasonable wait times for routine procedures, though highly specialized interventional endoscopy may still require longer scheduling lead times. The concentration of providers in urban areas means some patients in eastern Connecticut may face longer drives but generally have good access to quality care.
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 Connecticut
What is the average cost of a Upper Endoscopy visit in Connecticut without insurance?
Does Connecticut Medicaid cover Upper Endoscopy visits?
How do I find an affordable Upper Endoscopy near me in Connecticut?
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 Connecticut?
How does telemedicine affect the cost of seeing a Upper Endoscopy in Connecticut?
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 |
