An endocrinologist is a medical provider who has studied the body’s hormones and specializes in detecting symptoms related to the endocrine system. These providers mainly focus on identifying hormone imbalances and provide ongoing and specialized care. Many endocrine disorders are incurable and require lifelong management; however, some of them can be reversed or cured surgically.
Some of the conditions that an endocrinologist can diagnose and treat include:
- Calcium and Bone Disorders: Conditions such as osteoporosis or parathyroid disease.
- Diabetes: Type 1, Type 2, and gestational diabetes management.
- Metabolic Disorders: Including obesity, insulin resistance, and lipid abnormalities.
- Endocrine Cancers and Tumors: Involving the thyroid, adrenal glands, or pancreas.
- Pituitary and Adrenal Gland Disorders: Including Cushing’s syndrome or Addison’s disease.
- Sexual Development and Reproductive Conditions: Such as PCOS or hypogonadism.
- Thyroid Diseases: Including hypothyroidism and thyroid nodules.
As endocrinology visits (whether in‑office, telehealth, or the occasional home visit) vary by state, insurance coverage, and condition, costs differ widely. In this blog, we’ll explore the average follow-up costs without insurance. Whether you’re managing thyroid issues or dealing with hormonal imbalances, understanding these costs can help you plan better.
Endocrinologist Visit Cost by State
The cost of an endocrinologist visit without insurance can vary from one state to another. Here are the average follow-up costs across the U.S.:
| State | Estimated Price Range (Self-Pay) |
| Alabama | $93 – $124 |
| Alaska | $126 – $168 |
| Arizona | $106 – $141 |
| Arkansas | $93 – $123 |
| California | $116 – $154 |
| Colorado | $102 – $136 |
| Connecticut | $112 – $149 |
| Delaware | $109 – $144 |
| D.C. | $108 – $143 |
| Florida | $103 – $136 |
| Georgia | $96 – $128 |
| Hawaii | $97 – $129 |
| Idaho | $94 – $126 |
| Illinois | $107 – $143 |
| Indiana | $98 – $130 |
| Iowa | $89 – $118 |
| Kansas | $92 – $122 |
| Kentucky | $94 – $125 |
| Louisiana | $105 – $139 |
| Maine | $94 – $126 |
| Maryland | $111 – $148 |
| Massachusetts | $115 – $152 |
| Michigan | $106 – $140 |
| Minnesota | $119 – $158 |
| Mississippi | $95 – $126 |
| Missouri | $94 – $125 |
| Montana | $98 – $130 |
| Nebraska | $95 – $127 |
| Nevada | $101 – $134 |
| New Hampshire | $101 – $135 |
| New Jersey | $123 – $163 |
| New Mexico | $93 – $124 |
| New York | $115 – $153 |
| North Carolina | $93 – $123 |
| North Dakota | $103 – $137 |
| Ohio | $96 – $128 |
| Oklahoma | $103 – $137 |
| Oregon | $105 – $140 |
| Pennsylvania | $108 – $144 |
| Rhode Island | $116 – $154 |
| South Carolina | $99 – $131 |
| South Dakota | $92 – $122 |
| Tennessee | $93 – $123 |
| Texas | $100 – $133 |
| Utah | $104 – $139 |
| Vermont | $102 – $136 |
| Virginia | $100 – $133 |
| Washington | $111 – $148 |
| West Virginia | $100 – $133 |
| Wisconsin | $105 – $140 |
Note: These are average self-pay costs. However, insurance, visit type, and your condition can increase or decrease total prices.
What’s Included in an Endocrinologist Visit?
An endocrinologist visit helps uncover the symptoms that can be hard for a general healthcare provider to diagnose, including unexplained weight gain, fatigue, or irregular periods. Here’s what is generally included in the visit:
- Full medical history review: The healthcare provider will start by asking questions related to your current symptoms, medical history, family background, and lifestyle.
- Physical exam: A brief but targeted physical examination to determine the thyroid size, blood pressure, and other signs related to your endocrine dysfunction.
- Recommendations for lab tests: Based on your symptoms, your doctor might recommend that some blood tests be performed to check hormone levels and other such indicators. These tests are essential and not included in the visit charges.
- Treatment or medication plan: If a condition is diagnosed, your endocrinologist will recommend the next steps. This can include medication, some lifestyle changes, and even follow-up testing.
Typical Add-On Fees and Services
While the fee for an endocrinologist visit covers the consultation, certain services are not included in it, especially lab tests. These charges can apply whether you’re insured or paying out-of-pocket, and they’re not included in the base fee. Here is a list of typical add-on fees and services:
| Service | Estimated Price |
| Blood draw | $5 – $15 |
| Hemoglobin A1C | $20 – $30 |
| Thyroid panel | $40 – $80 |
| Testosterone injection | $3 – $15 |
| Injection administration | $30 – $50 |
| Initial hospital consultation | $200 – $250 |
| Follow-up hospital visit | $50 – $130 |
When Should You See an Endocrinologist?
If your primary care doctor is not able to diagnose a certain persisting condition, it’s best to see an endocrine specialist immediately. These specialists focus on treating hormone-related disorders that can affect everything from your energy levels to your reproductive health. You can choose one yourself or be referred by your doctor in the following cases:
- Diabetes (Type 1 or Type 2): If your blood sugar or insulin levels are high or too low, or other complications exist
- Thyroid conditions, including hypothyroidism and hyperthyroidism
- Adrenal disorders such as Addison’s disease or Cushing syndrome
- Hormone imbalances, such as low testosterone or estrogen changes
- Polycystic Ovary Syndrome (PCOS)
- Osteoporosis
- Delayed or Early Puberty
How Insurance Affects Cost
If an endocrinologist is providing a home‑visit, insurance can help reduce the overall cost, but coverage can vary.
- When you have insurance: Some insurance plans treat in-home visits the same as in-office appointments, applying your usual copay or coinsurance. Others might require pre-authorization or offer limited coverage, especially if the provider is out of network or if home visits aren’t covered in your standard plan. If the endocrinologist is in-network, you’ll generally have to pay a copay (commonly $25-$70) or a percentage of the visit cost after meeting your deductible. In-home services such as blood draws, injections, or portable diagnostic testing may be billed separately. To avoid unexpected costs, you should check with both your provider and insurance company.
- When you don’t have insurance: Without insurance, in-home endocrinologist visits typically cost more than standard clinic appointments because of travel, setup, and convenience factors. You can expect to pay anywhere from $150-$300, or more, depending on your location, the severity of the condition, and whether any additional services are provided during your visit. As you’ll be paying out of pocket, it’s advisable to ask for a detailed cost breakdown before making an appointment with the healthcare provider.
Saving Money on Your Endocrinologist Visit
If you are paying out of pocket or want to reduce costs, a few smart ways to make the care affordable include:
- Use cash-pay clinics that provide upfront pricing to avoid hidden fees and unexpected bills
- Request pricing before the visit so you know what every service will cost
- Bundle lab work if the clinic is offering an in-house package
- Ask about generic medications if you have been prescribed treatment
These steps can help you receive meaningful care without compromising your savings.
Frequently Asked Questions
Can I see an endocrinologist without insurance?
Yes, you can see an endocrinologist without insurance, as many clinics offer discounts to patients who self-pay.
Do I need a referral to see an endocrinologist?
Some insurance plans require you to have a referral to see an endocrinologist. However, if you are paying out of pocket, you will not require a referral.
Why does an endocrinologist check my hands or skin?
Hormonal imbalances can affect your skin’s tone and texture and may also cause swelling. So, the endocrinologist checks your hands or skin to help in the diagnosis.
Can they help with weight gain or fatigue?
Yes, they can help you with weight gain or fatigue if the cause behind these conditions is hormonal. Otherwise, some lifestyle changes may be advised.
