Cost
What Endoscopic Sleeve Gastroplasty Costs in Colorado
ESG has historically been self pay because most insurers treated it as investigational. As of January 2026 it has a permanent billing code, and a small but growing number of payers have begun to cover it. Coverage is still inconsistent, so benefits are verified individually and many patients continue to choose self pay. Either way the number should be clear before you schedule. Here is what goes into it and how to get a real quote.
Why this is often self pay
ESG has historically been self pay because most insurers treated it as investigational. The practical effect for most people is still that you are quoted directly rather than working through a benefits process.
That is not automatically worse. A self-pay path is often faster, and the total is known up front instead of arriving in pieces afterward.
What a complete quote includes
A quote is only useful if it covers everything. Ask for it in writing and ask which of these are inside the number and which are billed separately.
- The procedure itself and the surgeon's fee
- Facility and equipment use
- Anesthesia or sedation
- Pre-procedure evaluation and any required testing
- Scheduled follow-up visits after the procedure
- Nutrition support during the months that follow
What changes the number
Two people can be quoted differently for the same procedure. The reasons are usually structural rather than arbitrary.
- Whether pre-procedure testing is already complete or still needed
- Whether an upper endoscopy is required first
- Whether other conditions need to be addressed at the same visit
Questions worth asking anyone
These questions are useful whether you talk to this practice or another one. A program that answers them clearly is easier to trust.
- What happens to the price if something is found during the procedure?
- How many follow-up visits are included, and for how long?
- What is the policy if the procedure has to be rescheduled?
How to get your number
Cost for your situation is quoted by our team in writing after a short conversation about your history and what testing you have already had.
This page explains how cost is built, not what your cost will be. No figures are published here. A written quote for your situation comes from our team.
Common questions
- Why is there no price on this page?
- Because a published number would be wrong for most people.
- Is ESG covered by insurance?
- ESG has historically been self pay because most insurers treated it as investigational. Coverage is still inconsistent, so benefits are verified individually and many patients continue to choose self pay. Coverage questions are answered by your plan, and our team can tell you what documentation to request.
- Can I get the quote before an appointment?
- You can start the conversation before an appointment. A firm written quote follows once your situation is understood.
Related reading
Next step
Tell us what testing you have already had. That is what shapes the number.
Request a written quoteLast reviewed