Itemized  ·  Procedures  ·  Upper endoscopy (EGD) with biopsy  ·  with Aetna

Upper endoscopy (EGD) with biopsy with Aetna.

Negotiated rates Aetna pays for upper endoscopy (egd) with biopsy at 83 US hospitals. Range: $101 to $16,973. Your specific cost depends on your plan tier, deductible status, and coinsurance — see the comparison tool to model your exact out-of-pocket.

Top hospitals by Aetna rate.

#HospitalAetna rate
1
Brooklyn, NY
$101 – $115
2
La Jolla, CA
$129 – $2,226
3
San Diego, CA
$129 – $2,226
4
La Jolla, CA
$129 – $2,226
5
Encinitas, CA
$129 – $2,226
6
Nashville, TN
$144 – $1,581
7
New York, NY
$151 – $7,951
8
Cleveland, OH
$173 – $3,732
9
Pittsburgh, PA
$178 – $337
10
Monroeville, PA
$178 – $337
11
Jefferson Hills, PA
$178 – $337
12
Philadelphia, PA
$222 – $386
13
Queens, NY
$278
14
Seattle, WA
$357 – $4,521
15
Dallas, TX
$370 – $5,321
16
Houston, TX
$423
17
Houston, TX
$423
18
New York, NY
$454
19
Brooklyn, NY
$454
20
Jamaica, NY
$454
21
Brooklyn, NY
$454
22
San Diego, CA
$454 – $7,091
23
Austin, TX
$469
24
Austin, TX
$469
25
Round Rock, TX
$469
26
Austin, TX
$469
27
Austin, TX
$469
28
Dallas, TX
$471 – $1,995
29
Bronx, NY
$501 – $1,701
30
Pittsburgh, PA
$517 – $2,719
31
La Mesa, CA
$563 – $3,617
32
Charlotte, NC
$648 – $847
33
Dallas, TX
$673 – $2,511
34
Glendale, CA
$849 – $4,578
35
Chicago, IL
$892 – $4,597
36
New Haven, CT
$1,219
37
Portland, OR
$1,308 – $2,616
38
Phoenix, AZ
$1,336 – $2,137
39
San Diego, CA
$1,366 – $3,617
40
Houston, TX
$1,412
41
Houston, TX
$1,412
42
Houston, TX
$1,412
43
Sugar Land, TX
$1,412
44
Katy, TX
$1,412
45
Humble, TX
$1,412
46
New York, NY
$1,464
47
Washington, DC
$1,611
48
Chicago, IL
$1,621 – $1,718
49
Colorado Springs, CO
$1,658 – $1,765
50
Long Beach, CA
$1,714 – $2,969

Estimate what you'd actually pay with Aetna.

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About these rates.

Hospitals are required by federal law (45 CFR 180.50) to publish the rates they negotiated with each insurer for each procedure. These numbers are the rates the hospital published for Aetna plans, pulled directly from each hospital's machine-readable file.

The range column reflects different Aetna plan tiers (HMO, PPO, EPO, etc.). Your plan picks one number out of that range. Your actual out-of-pocket depends on your deductible status, copay, and coinsurance, which the comparison tool can model when you fill them in.

Cash-pay rates are often cheaper than the negotiated rate, especially for high-deductible plans. Worth comparing both — the Upper endoscopy (EGD) with biopsy overview shows the cash-pay column alongside.