National pricing for 6 gastroenterologist services with city-level breakdowns.
National Range
$200 – $6,000
GI pricing is dominated by endoscopic procedures, with colonoscopy among the most-searched healthcare cost queries. A screening colonoscopy ranges from $1,500 at an ambulatory surgery center to $5,000+ at a hospital outpatient department — same procedure, very different bill. The ACA mandates 100% coverage for in-network screening colonoscopy in average-risk patients age 45+, but a coverage gotcha exists: if polyps are removed during a screening exam, some plans reclassify the procedure as diagnostic and apply cost-sharing. Office consults run $200–$500 cash-pay. Patients should confirm anesthesia and pathology in-network status before the procedure to avoid surprise bills.
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6 services covered. Prices vary by provider — ranges shown.
| Service | Range | Unit |
|---|---|---|
Initial GI Consult Sub-specialty (hepatology, IBD, advanced endoscopy) commands 15–25% premium Source: CMS CPT 99204 + ASGE patient guidance | $200 – $500/visitInsurance | per new-patient visit (30–45 min) |
Screening Colonoscopy Ambulatory Surgery Center (ASC): $1,500–$3,000 typical Source: GoodRx 2026 colonoscopy pricing + Fair Health Consumer | $1,500 – $5,000Insurance | per procedure (with anesthesia + facility) |
Upper Endoscopy (EGD) ASC: $1,200–$2,500 Source: CMS CPT 43235 + Turquoise Health 2026 | $1,200 – $4,500Insurance | per diagnostic EGD (with anesthesia + facility) |
Flexible Sigmoidoscopy Office-based without anesthesia: $350–$700 Source: CMS CPT 45330 + Healthgrades 2026 | $350 – $1,500Insurance | per procedure (often without anesthesia) |
Capsule Endoscopy PillCam capsule device cost ($500–$800) often largest line item Source: CMS CPT 91110 + ASGE 2025 pricing | $1,000 – $3,500Insurance | per study (capsule + reading + interpretation) |
Liver Biopsy Image-guided percutaneous biopsy (US/CT): $1,500–$3,500 Source: CMS CPT 47000/47100 + Hospital Pricing Specialists | $1,500 – $6,000Insurance | per percutaneous biopsy (with imaging guidance) |
Gastroenterology Services in the U.S. cover 6 distinct services. $200 – $6,000. Per-service pricing breakdown is in the table below.
Place of service (ASC vs. hospital outpatient department) — biggest single driver; Anesthesia provider in-network status (separate bill); Pathology billed separately for any biopsy / polyp removal; Screening vs. diagnostic indication (affects ACA cost-sharing); Sub-specialty (advanced endoscopy, hepatology, IBD); Insurance deductible status and pre-authorization requirements.
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