go back

Upper GI Endoscopy (EGD), Diagnostic

Virginia rates for HCPCS 43235

A thin, flexible camera-tipped tube is passed through the mouth and down into the esophagus, stomach, and the first part of the small intestine (duodenum) to look for problems like ulcers, inflammation, or abnormal tissue. This version is diagnostic, meaning it's a look-and-check exam, though it may include collecting cells or fluid samples by brushing or washing the lining. It does not include removing polyps, taking a tissue biopsy with forceps, or treating bleeding, which are billed separately.

Rates data updated July 2026.

How much does Upper GI Endoscopy (EGD), Diagnostic cost?

$1,016

Typical total for the visit. In Virginia, July 2026.

Insurers have agreed to pay about $1,016 for this procedure. That total is two separate charges: $240 to the doctor who performs it, and $776 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$240$141 to $355
Facility feeThe hospital or surgery center$776$295 to $2,399

How much rates vary

Facilitymedian $776 · 10th to 90th $158 to $5,012Professionalmedian $240 · 10th to 90th $117 to $537
$100$200$500$1K$2K$5K$10Kfacility $776professional $240

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$1,778.28
Typical High
$5,248.07
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$69.18
Median
$147.91
Typical High
$269.15
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$28.18
Median
$42.66
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$229.09
Typical High
$537.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$269.15
Typical High
$478.63
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$131.83
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$281.84
Typical High
$501.19
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$389.05
Typical High
$645.65
Medcost
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$426.58
Typical High
$562.34
Medcost
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$295.12
Typical High
$537.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$676.08
Sentara
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$181.97
Typical High
$794.33
Sentara
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$371.54
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$2,754.23
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$239.88
Typical High
$489.78

Where Virginia sits

The same service costs 7.5 times more in New Jersey than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Virginia· 46th of 51

$1,016

$240 physician + $776 facility

NJ $4,840MT $642

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.