Last updated: March 2026
How Much Does Upper Endoscopy (EGD) Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Diagnostic Endoscopy | $1,500 – $3,500 | $300 – $1,000 |
| Endoscopy with Biopsy | $2,000 – $4,500 | $400 – $1,200 |
| Endoscopy with Dilation | $2,500 – $5,000 | $500 – $1,300 |
CPT/ADA Code: 43239
What Affects the Cost
- Brand-name vs. generic availability
- Insurance formulary tier placement
- Pharmacy choice (retail vs. mail-order vs. Costco)
- Manufacturer savings cards and coupons
- Dosage and quantity prescribed
- Geographic location
Insurance Coverage
Typical coverage: Diagnostic — covered after deductible; screening may be covered differently
Most insurance plans use a tiered formulary: Tier 1 (generic) $0-$15 copay, Tier 2 (preferred brand) $25-$75, Tier 3 (non-preferred brand) $50-$150, Tier 4 (specialty) $100-$500+. Prior authorization may be required for certain medications. Step therapy may require trying cheaper alternatives first.
How to Save Money
- Always ask for generic when available — saves 50-90%
- Use GoodRx, RxSaver, or similar discount cards
- Costco pharmacy is open to non-members and often has lowest prices
- Mark Cuban's Cost Plus Drugs offers transparent low pricing
- Manufacturer patient assistance programs provide free medication to qualifying patients
- HSA/FSA funds can cover medication costs tax-free
Related Procedures & Costs
Frequently Asked Questions
An upper endoscopy costs $1,500 to $5,000 without insurance including facility, anesthesia, and physician fees.
Yes, diagnostic endoscopy is covered after deductible. If done as a screening procedure, some plans cover it as preventive care.
The procedure takes 15-30 minutes. With preparation and recovery from sedation, plan for 2-3 hours total.