Cost of a Upper Endoscopy Visit
in Nebraska
Reviewed by Momentary Medical Group West PC
Nebraska's healthcare costs run approximately 1% below the national average, making it one of the more affordable states for medical procedures. Upper Endoscopy procedures in Nebraska typically range from $176 to $691, with a median cost of $594 based on negotiated insurance rates. With over 2,180 active providers performing upper endoscopy procedures across the state, patients have numerous options for finding quality care in both urban centers and rural communities.
Average
$487
Median
$594
Lowest
$176
Highest
$691
Providers
2,182
27% above national average
Compare Similar Procedures
How does upper endoscopy (egd) compare to related procedures in Nebraska?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $265 | $701 | $815 | 2,194 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $281 | $904 | $1,040 | 2,198 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $360 | $946 | $1,090 | 2,193 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $195 | $791 | $902 | 2,207 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $14 | $37 | 2,654 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $101 | $283 | $477 | 2,203 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $82 | $117 | $329 | 2,648 |
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 Nebraska
Healthcare costs in Nebraska run about 1% below the national average, reflecting the state's lower cost of living and competitive insurance market. The state's mix of urban medical centers in Omaha and Lincoln alongside vast rural areas creates unique cost dynamics for specialized procedures like Upper Endoscopy.
Urban vs. Rural Provider Availability
Nebraska's two main metropolitan areas, Omaha and Lincoln, house the majority of gastroenterologists, while rural counties often have limited or no specialist coverage. Patients in western Nebraska may need to travel several hours to reach the nearest Upper Endoscopy provider, though telehealth consultations help bridge some access gaps.
Facility Type and Overhead Costs
Major health systems like Nebraska Medicine, CHI Health, and Methodist Health System operate hospital-based outpatient clinics with higher overhead costs, while independent ambulatory surgery centers often offer more competitive pricing. The concentration of academic medical facilities in Omaha creates a competitive environment that can benefit patients through specialized care options and research protocols.
Insurance Market Competition in Nebraska
Blue Cross Blue Shield of Nebraska maintains the largest market share, followed by UnitedHealthcare and Aetna, creating moderate competition that prevents extreme rate variations. The relatively concentrated market means most providers have established contracts with all major insurers, giving patients good network options regardless of their insurance carrier.
Physician Supply and Demand in Nebraska
With over 2,180 providers performing Upper Endoscopy procedures statewide, Nebraska has reasonable specialist availability relative to its population of 2 million residents. This adequate supply helps maintain competitive pricing and reasonable wait times, though rural areas still face significant access challenges requiring travel to 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 Nebraska
What is the average cost of a Upper Endoscopy visit in Nebraska without insurance?
Does Nebraska Medicaid cover Upper Endoscopy visits?
How do I find an affordable Upper Endoscopy near me in Nebraska?
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 Nebraska?
How does telemedicine affect the cost of seeing a Upper Endoscopy in Nebraska?
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 |