Cost of a Upper Endoscopy Visit
in Utah
Reviewed by Momentary Medical Group West PC
Utah's healthcare landscape features unique geographic challenges with the Wasatch Front metropolitan corridor serving 80% of the state's population while vast rural areas face provider shortages. Patients seeking Upper Endoscopy services typically pay between $97 and $627, with a median out-of-pocket cost of $491 based on negotiated insurance rates. Utah maintains 329 active Upper Endoscopy providers across the state, creating reasonable access for most residents who can browse all available specialists throughout Utah's diverse regions.
Average
$405
Median
$491
Lowest
$98
Highest
$627
Providers
329
6% above national average
Compare Similar Procedures
How does upper endoscopy (egd) compare to related procedures in Utah?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $85 | $499 | $741 | 423 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $537 | $944 | 432 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $722 | $1,090 | 362 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $384 | $820 | 441 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $26 | $88 | 464 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $80 | $202 | $340 | 425 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $51 | $143 | $241 | 409 |
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 Utah
Utah's Upper Endoscopy costs run approximately 2% below national averages, reflecting the state's relatively efficient healthcare market and lower overall cost of living compared to coastal regions. The Wasatch Front's concentration of medical facilities creates competitive pricing, while rural areas face access challenges that can drive up costs due to limited provider availability.
Urban vs. Rural Provider Availability
The Salt Lake City-Provo metropolitan area houses the majority of Utah's Upper Endoscopy specialists, creating competitive pricing and shorter wait times for urban residents. Rural counties often require patients to travel 100+ miles for specialist care, adding transportation costs but sometimes finding lower base fees. Telehealth consultations have improved rural access for follow-up visits, though initial examinations typically require in-person evaluation.
Facility Type and Overhead Costs
Hospital-owned gastroenterology clinics in Utah typically charge higher facility fees than independent practices, with systems like Intermountain Healthcare and University of Utah Health commanding premium rates. Academic medical centers offer specialized expertise for complex conditions but generally cost 20-30% more than community-based Upper Endoscopy providers. Ambulatory surgery centers often provide more competitive pricing for procedures compared to hospital outpatient departments.
Insurance Market Competition in Utah
SelectHealth's strong regional presence, combined with Blue Cross Blue Shield of Utah and UnitedHealthcare, creates moderate competition that benefits consumers through reasonable negotiated rates. The state's relatively consolidated insurance market means fewer network complications but also less pricing pressure on providers. Regional insurers often have stronger relationships with local gastroenterology practices, potentially offering better coverage terms.
Physician Supply and Demand in Utah
Utah maintains 329 active Upper Endoscopy providers serving approximately 3.4 million residents, indicating adequate supply in metropolitan areas but potential shortages in rural regions. The University of Utah's gastroenterology fellowship program helps train specialists who often remain in-state, supporting local provider supply. Wait times for routine Upper Endoscopy consultations typically range from 2-6 weeks in urban areas, extending to 8-12 weeks in rural counties.
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 Utah
What is the average cost of a Upper Endoscopy visit in Utah without insurance?
Does Utah Medicaid cover Upper Endoscopy visits?
How do I find an affordable Upper Endoscopy near me in Utah?
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 Utah?
How does telemedicine affect the cost of seeing a Upper Endoscopy in Utah?
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 |