Always confirm costs with your healthcare facility and/or insurance coverage
If you’ve been told you need an endoscopy—whether it’s to investigate acid reflux, ulcers, or unexplained stomach pain—your next question is probably: how much is this going to cost?
The answer depends on a number of factors: type of endoscopy, sedation used, location, and insurance coverage. In 2025, medical costs are still unpredictable, but here’s a clear breakdown of what you can expect.
Average Endoscopy Costs in 2025
Type of Endoscopy |
Average Cost (Without Insurance) |
|---|---|
Upper Endoscopy (EGD) |
$1,200 – $3,500 |
Colonoscopy |
$1,000 – $3,800 |
Sigmoidoscopy |
$800 – $2,000 |
Capsule Endoscopy |
$1,500 – $4,000 |
Endoscopic Ultrasound (EUS) |
$2,500 – $7,000 |
These prices include facility fees, sedation, physician fees, and pathology labs, but complications, biopsies, or anesthesia upgrades can increase costs.
Cost With Insurance 
Insurance Type |
Estimated Out-of-Pocket Cost |
|---|---|
Private (Employer Plan) |
$200 – $1,500 |
ACA Marketplace (Silver) |
$800 – $2,000 |
~$200 – $500 (Part B, 20% coinsurance) |
|
Medicaid |
Often free or very low-cost if approved |
If the endoscopy is screening-based (e.g., colonoscopy for age 45+), it may be 100% covered under preventive care guidelines.
Factors That Affect Endoscopy Costs 
1. Type of Endoscopy
- A standard upper endoscopy (EGD) is cheaper than specialized procedures like EUS or capsule endoscopy.
2. Sedation Type
- Conscious sedation (moderate) is cheaper.
- General anesthesia adds $500–$1,000 to your bill.
3. Facility Location
- Outpatient centers or GI clinics are cheaper than hospitals.
- Hospital-based procedures may cost 2–3x more.
4. Insurance Coverage & Network
- In-network providers and facilities = lower costs.
- Pre-authorization is often required.
5. Additional Services
- Biopsies, pathology analysis, polyp removal, and follow-up visits add to your total.
Cost Breakdown 
Component |
Typical Cost |
|---|---|
Facility Fee |
$500 – $2,000 |
Physician Fee |
$300 – $900 |
Sedation/Anesthesia |
$250 – $1,200 |
Pathology (Biopsies) |
$100 – $700 |
Tips to Save Money on Your Endoscopy 
Ask for a cash-pay discount
- Many outpatient clinics offer flat-rate pricing for uninsured patients.
Compare facilities
- GI clinics often cost 50% less than hospitals.
Verify in-network status
- Double check that facility, GI doctor, anesthesiologist, and lab are all in-network.
Request an itemized quote
- Ask for a CPT code estimate and get a cost breakdown before the procedure.
When Is an Endoscopy Covered as Preventive Care? 
Some endoscopies—particularly colonoscopy screenings at age 45+—are fully covered under most ACA-compliant plans.
No cost-sharing if it’s a scheduled screening (no symptoms present) If polyps are removed, it may still be fully covered (check your policy) Diagnostic procedures (due to symptoms) typically trigger normal deductibles and coinsurance.
Final Thoughts 
In 2025, an endoscopy can cost anywhere from $1,200 to $4,000 out-of-pocket without insurance—and $200 to $2,000 with it, depending on your plan. If you’re due for a routine check or managing a GI condition, it’s worth shopping around and verifying every cost component before the procedure.
Had an endoscopy lately? Drop your cost or tips in the comments to help others navigate it! 
