Cost of a Upper Endoscopy Visit
in Georgia
Reviewed by Momentary Medical Group West PC
Georgia's healthcare market features nearly 2,875 Upper Endoscopy providers across the state, creating competitive pricing for diagnostic procedures. Patients typically pay between $118 and $830 for Upper Endoscopy services, with a median out-of-pocket cost of $350. With strong provider availability throughout major metropolitan areas like Atlanta and Savannah, patients can browse all Upper Endoscopy specialists in Georgia to find quality care that fits their budget.
Average
$433
Median
$350
Lowest
$119
Highest
$830
Providers
2,875
13% above national average
Compare Similar Procedures
How does upper endoscopy (egd) compare to related procedures in Georgia?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $90 | $448 | $982 | 3,108 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $85 | $525 | $1,250 | 3,159 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $225 | $632 | $1,310 | 2,968 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $85 | $396 | $1,084 | 3,187 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $29 | $93 | 3,676 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $68 | $206 | $653 | 3,205 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $50 | $118 | $319 | 3,173 |
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 Georgia
Georgia's Upper Endoscopy costs run approximately 16% above the national average, reflecting the state's growing healthcare market and concentrated provider networks in major metropolitan areas. The state's mix of rural counties and urban centers creates significant geographic disparities in both access and pricing.
Urban vs. Rural Provider Availability
Metro Atlanta contains the majority of Georgia's Upper Endoscopy specialists, creating competitive pricing but also higher overhead costs due to real estate and staffing expenses. Rural areas of south and southwest Georgia often require patients to travel significant distances for endoscopic procedures, with some counties having no local gastroenterologists. This geographic concentration allows urban providers to command premium pricing while rural patients face additional travel costs.
Facility Type and Overhead Costs
Hospital-based endoscopy suites at major health systems like Emory Healthcare and Piedmont Healthcare typically charge higher facility fees compared to independent ambulatory surgery centers. Many gastroenterologists in Georgia have invested in freestanding endoscopy centers, which can offer more competitive pricing due to lower overhead costs. The growth of physician-owned facilities has increased competition and provided more cost-effective options for routine diagnostic procedures.
Insurance Market Competition in Georgia
The dominance of Anthem, UHC, and Cigna in Georgia's commercial market creates varied negotiated rates across different regions of the state. Limited insurer competition in rural areas often results in higher negotiated rates, while metropolitan markets see more competitive pricing. The lack of Medicaid expansion reduces insurer risk pools and can influence overall market pricing dynamics.
Physician Supply and Demand in Georgia
With 2,875 active Upper Endoscopy providers statewide, Georgia maintains adequate specialist availability in urban areas but faces shortages in rural regions. This supply concentration allows metropolitan providers to maintain higher fee schedules while creating access challenges for patients in underserved areas. Growing population in metro Atlanta continues to drive demand, supporting premium pricing in the state's largest market.
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 Georgia
What is the average cost of a Upper Endoscopy visit in Georgia without insurance?
Does Georgia Medicaid cover Upper Endoscopy visits?
How do I find an affordable Upper Endoscopy near me in Georgia?
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 Georgia?
How does telemedicine affect the cost of seeing a Upper Endoscopy in Georgia?
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 |