Cost of a Upper Endoscopy Visit
in Washington
Reviewed by Momentary Medical Group West PC
Washington's healthcare costs run approximately 10% above national averages, reflecting the state's concentration of providers in metropolitan corridors from Seattle to Spokane. Upper Endoscopy procedures in Washington typically cost patients between $152 and $759, with a median negotiated rate of $312 based on transparency data from over 2,200 active providers. The state's robust network of gastroenterology specialists spans from major health systems like UW Medicine to independent clinics, giving patients multiple options to browse all Upper Endoscopy providers throughout Washington.
Average
$408
Median
$312
Lowest
$152
Highest
$759
Providers
2,247
6% above national average
Compare Similar Procedures
How does upper endoscopy (egd) compare to related procedures in Washington?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $80 | $298 | $856 | 5,559 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $385 | $1,143 | 4,616 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $487 | $3,638 | 4,541 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $236 | $954 | 5,547 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $16 | $80 | 5,856 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $80 | $185 | $513 | 4,713 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $51 | $92 | $991 | 5,465 |
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 Washington
Washington's healthcare costs exceed national averages by approximately 10%, driven by higher provider compensation, facility overhead, and concentration of services in expensive metropolitan markets. The state's geography creates distinct cost disparities between the densely populated Puget Sound region and rural eastern counties where specialist access remains limited.
Urban vs. Rural Provider Availability
Seattle, Tacoma, and Spokane concentrate most of Washington's gastroenterology specialists, creating access challenges and higher costs for patients in rural counties like Ferry, Garfield, and Wahkiakum. Rural patients often face additional travel costs and may pay premium rates for limited specialist availability in their regions.
Facility Type and Overhead Costs
Major health systems like UW Medicine, Virginia Mason Franciscan Health, and MultiCare operate high-overhead hospital-based outpatient clinics that typically charge more than independent gastroenterology practices. Academic medical centers in Washington often have the highest facility fees due to teaching hospital costs and advanced technology investments.
Insurance Market Competition in Washington
Washington maintains moderate insurer competition with Premera, Regence, Kaiser, and UnitedHealthcare holding significant market shares, preventing the monopolistic pricing seen in less competitive states. This competition generally benefits patients through more reasonable negotiated rates for Upper Endoscopy procedures, though Kaiser's integrated model creates different cost structures than traditional fee-for-service arrangements.
Physician Supply and Demand in Washington
With over 2,200 active providers offering Upper Endoscopy services, Washington maintains adequate specialist supply in metropolitan areas but shortage conditions persist in rural regions. This supply-demand imbalance contributes to geographic cost variations and longer wait times outside major cities, though overall provider density helps moderate pricing compared to states with severe specialist shortages.
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 Washington
What is the average cost of a Upper Endoscopy visit in Washington without insurance?
Does Washington Medicaid cover Upper Endoscopy visits?
How do I find an affordable Upper Endoscopy near me in Washington?
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 Washington?
How does telemedicine affect the cost of seeing a Upper Endoscopy in Washington?
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 |