Minnesota

Cost of a Upper Endoscopy Visit
in Minnesota

Name: Upper Endoscopy (EGD) Cost in Minnesota (2026)
Creator: Jayant Panwar
Published: 2026-03-18

Reviewed by Momentary Medical Group West PC

Minnesota's healthcare system serves over 5.7 million residents through a network of integrated health systems and independent practices, with Upper Endoscopy procedures widely available across the state. Patients typically pay between $117 and $695 for an Upper Endoscopy in Minnesota, with a median cost of $411 based on negotiated insurance rates. Minnesota has 368 active Upper Endoscopy providers offering diagnostic services throughout the state, allowing patients to browse all available providers when planning their care.

Average

$408

Median

$411

Lowest

$117

Highest

$695

Providers

368

National avg: $383Minnesota: $408

6% above national average

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Always available primary care

Just $19.99/mo

Compare Similar Procedures

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

Procedure	CPT	Low	Median	High	Providers
Colonoscopy Diagnostic colonoscopy	45378	$90	$1,305	$2,255	1,824
Colonoscopy with Biopsy Colonoscopy with biopsy	45380	$85	$504	$1,970	472
Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare	45385	$80	$602	$1,954	406
Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy	43239	$90	$2,396	$2,396	1,809
ECG / EKG 12-lead electrocardiogram with interpretation	93000	$25	$26	$73	1,965
Echocardiogram Transthoracic echocardiogram with Doppler	93306	$77	$238	$644	567
OB Ultrasound Obstetric ultrasound, complete	76805	$68	$68	$175	1,728

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.

Full data methodology and glossary

Why Upper Endoscopy Visit Costs Vary Across Minnesota

Minnesota's healthcare costs run approximately 2% above national averages, reflecting the state's robust healthcare infrastructure and competitive insurance market. The state's geographic distribution between the Twin Cities metropolitan area and rural regions creates distinct cost and access patterns for specialty services like Upper Endoscopy.

Urban vs. Rural Provider Availability

The Minneapolis-St. Paul metropolitan area concentrates most of Minnesota's 368 Upper Endoscopy providers, while rural areas rely heavily on regional medical centers and occasional visiting specialists. Greater Minnesota residents may face longer travel distances and potentially higher costs when seeking specialized endoscopy services outside their immediate region. Telemedicine consultations have helped bridge some access gaps, though the procedure itself requires in-person care.

Facility Type and Overhead Costs

Minnesota's healthcare landscape is dominated by large integrated systems like Mayo Clinic, Allina Health, and Fairview Health Services, which often operate hospital-based outpatient departments with higher overhead costs. Independent ambulatory surgery centers and gastroenterology practices typically offer lower facility fees for Upper Endoscopy procedures. The choice between hospital-based and independent facilities can significantly impact total out-of-pocket costs for patients.

Insurance Market Competition in Minnesota

Minnesota maintains a competitive insurance market with BCBS MN, UHC, and HealthPartners as major carriers, along with several regional plans and cooperatives. This competition helps moderate negotiated rates for Upper Endoscopy procedures, though the state's comprehensive insurance regulations may contribute to slightly higher baseline costs. The presence of strong local insurers like HealthPartners creates unique network dynamics that can affect provider choice and pricing.

Physician Supply and Demand in Minnesota

With 368 active Upper Endoscopy providers serving Minnesota's population, the state maintains adequate specialist availability, particularly in urban areas. This provider density helps maintain competitive pricing and reasonable wait times for routine procedures, though subspecialized services may still require referral to major medical centers. The concentration of providers in the Twin Cities creates good access for metro residents while potentially limiting options for rural patients.

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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 Minnesota

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

Without insurance, Upper Endoscopy procedures in Minnesota typically range from $117 to $695, with a median cost of $411 based on negotiated rates. Self-pay patients may qualify for cash discounts that reduce these amounts by 10-30% when payment is made at the time of service. Many providers offer payment plans or financial assistance programs to help manage these costs for uninsured patients.

Does Minnesota Medicaid cover Upper Endoscopy visits?

Yes, Minnesota expanded Medicaid under the ACA, and Medical Assistance programs cover Upper Endoscopy procedures when medically necessary. Coverage includes both diagnostic procedures for symptoms and surveillance endoscopy for previously identified conditions like Barrett's esophagus. Patients typically need a referral from their primary care provider and should verify that their chosen gastroenterologist accepts Medicaid before scheduling.

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

Compare costs between hospital-based outpatient departments and independent ambulatory surgery centers, as the latter often charge lower facility fees. Ask about self-pay discounts if you're uninsured or have a high-deductible plan, and consider community health centers or federally qualified health centers for lower-cost options. Use your insurance company's provider directory to find in-network specialists, which typically results in significantly lower out-of-pocket costs.

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

Initial consultations with a gastroenterologist typically cost more than follow-up visits, though the actual Upper Endoscopy procedure represents the largest cost component at $117-$695 in Minnesota. New patient visits often involve comprehensive evaluation and procedure planning, while follow-up visits may focus on results discussion and ongoing care coordination. The procedure cost remains consistent regardless of whether it's performed during initial or subsequent care.

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

Yes, Upper Endoscopy procedures qualify as eligible medical expenses for both HSA and FSA accounts when performed for diagnostic or therapeutic purposes. You can use these pre-tax funds to pay for the procedure, consultation fees, and related medical expenses like pathology services if biopsies are taken. Keep detailed receipts and documentation from your provider for HSA/FSA reimbursement or account management.

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

While the Upper Endoscopy procedure itself must be performed in-person, initial consultations and follow-up visits can often be conducted via telemedicine at lower costs. Telehealth visits typically range from $50-150 compared to $200-400 for in-office consultations, making them cost-effective for symptom evaluation and results discussion. Minnesota has expanded telehealth coverage since 2020, with most major insurers covering virtual gastroenterology consultations at the same rate as in-person visits.

Click a state to compare costs

Average Visit Cost

$195

$1,697

Office visit (CPT 43235)

Compare With Other States

Rank	State	Average↓	Min⇅	Max⇅	Providers⇅
1	Wisconsin(WI) Range: $130 – $4,430	$1,697	$130	$4,430	1,916
2	Massachusetts(MA) Range: $159 – $1,259	$625	$159	$1,259	1,065
3	New Hampshire(NH) Range: $288 – $813	$547	$288	$813	3,661
4	Maine(ME) Range: $333 – $583	$493	$333	$583	1,527
5	Nebraska(NE) Range: $176 – $691	$487	$176	$691	2,182
6	Iowa(IA) Range: $135 – $691	$473	$135	$691	254
7	North Dakota(ND) Range: $118 – $853	$440	$118	$853	42
8	Wyoming(WY) Range: $161 – $864	$438	$161	$864	176
9	Georgia(GA) Range: $119 – $830	$433	$119	$830	2,875
10	North Carolina(NC) Range: $120 – $853	$424	$120	$853	2,213
11	West Virginia(WV) Range: $93 – $889	$419	$93	$889	98
12	Vermont(VT) Range: $211 – $673	$415	$211	$673	325
13	Minnesota(MN) Range: $117 – $695	$408	$117	$695	368
14	Washington(WA) Range: $152 – $759	$408	$152	$759	2,247
15	Rhode Island(RI) Range: $109 – $718	$406	$109	$718	58
16	Utah(UT) Range: $98 – $627	$405	$98	$627	329
17	New York(NY) Range: $159 – $771	$401	$159	$771	30,910
18	New Mexico(NM) Range: $141 – $724	$391	$141	$724	1,194
19	District of Columbia(DC) Range: $115 – $701	$387	$115	$701	315
20	Alaska(AK) Range: $105 – $759	$380	$105	$759	37
21	Connecticut(CT) Range: $118 – $683	$367	$118	$683	414
22	Indiana(IN) Range: $90 – $691	$361	$90	$691	296
23	Delaware(DE) Range: $109 – $701	$361	$109	$701	77
24	Pennsylvania(PA) Range: $90 – $715	$360	$90	$715	1,120
25	South Dakota(SD) Range: $103 – $691	$356	$103	$691	52
26	Missouri(MO) Range: $115 – $535	$354	$115	$535	5,368
27	New Jersey(NJ) Range: $74 – $758	$354	$74	$758	6,513
28	Oregon(OR) Range: $85 – $691	$346	$85	$691	250
29	Maryland(MD) Range: $109 – $666	$337	$109	$666	3,944
30	Hawaii(HI) Range: $82 – $636	$331	$82	$636	52
31	Colorado(CO) Range: $117 – $627	$329	$117	$627	1,345
32	Kentucky(KY) Range: $106 – $631	$328	$106	$631	191
33	Michigan(MI) Range: $121 – $572	$322	$121	$572	1,673
34	Idaho(ID) Range: $86 – $623	$316	$86	$623	95
35	Illinois(IL) Range: $118 – $534	$314	$118	$534	3,608
36	South Carolina(SC) Range: $109 – $564	$305	$109	$564	1,048
37	Montana(MT) Range: $90 – $581	$301	$90	$581	40
38	Arkansas(AR) Range: $90 – $535	$299	$90	$535	119
39	Nevada(NV) Range: $197 – $467	$297	$197	$467	2,544
40	Virginia(VA) Range: $95 – $551	$291	$95	$551	2,703
41	Mississippi(MS) Range: $101 – $544	$291	$101	$544	1,295
42	Alabama(AL) Range: $98 – $500	$279	$98	$500	2,364
43	Texas(TX) Range: $90 – $508	$276	$90	$508	10,361
44	Louisiana(LA) Range: $96 – $484	$270	$96	$484	879
45	Tennessee(TN) Range: $101 – $473	$266	$101	$473	2,452
46	Oklahoma(OK) Range: $85 – $521	$263	$85	$521	1,316
47	Kansas(KS) Range: $115 – $411	$262	$115	$411	1,732
48	California(CA) Range: $80 – $598	$254	$80	$598	6,177
49	Ohio(OH) Range: $77 – $474	$249	$77	$474	4,445
50	Arizona(AZ) Range: $71 – $455	$233	$71	$455	5,070
51	Florida(FL) Range: $35 – $496	$195	$35	$496	4,488

Cost of a Upper Endoscopy Visitin Minnesota