Endocrinology

Common services and transparent pricing

Pricing estimates are modeled from the current OpenDoc specialty taxonomy, visit archetypes, and transparent cash-pay assumptions. Posted provider pricing should be treated as the source of truth whenever it is available. Pricing last reviewed April 8, 2026.

• Initial Endocrinology Consultation — $250–$450: Initial Endocrinology Consultation is a common endocrinology entry point on OpenDoc with transparent pricing before booking.
• Thyroid Ultrasound — $150–$350: Thyroid Ultrasound is a common endocrinology entry point on OpenDoc with transparent pricing before booking.
• Thyroid Fine-Needle Aspiration (FNA) Biopsy — $300–$700: Thyroid Fine-Needle Aspiration (FNA) Biopsy is a procedure-oriented endocrinology service with transparent pricing shown before anything happens.
• Diabetes Management Visit — $150–$300: Diabetes Management Visit is a common endocrinology entry point on OpenDoc with transparent pricing before booking.
• Continuous Glucose Monitor (CGM) Initiation — $150–$300: Continuous Glucose Monitor (CGM) Initiation is a procedure-oriented endocrinology service with transparent pricing shown before anything happens.
• Insulin Pump Initiation & Training — $250–$500: Insulin Pump Initiation & Training is a procedure-oriented endocrinology service with transparent pricing shown before anything happens.
• Insulin Pump Adjustment Visit — $150–$275: Insulin Pump Adjustment Visit is a common endocrinology entry point on OpenDoc with transparent pricing before booking.
• Bone Density Scan (DEXA) — $75–$250: Bone Density Scan (DEXA) is a common endocrinology entry point on OpenDoc with transparent pricing before booking.
• Comprehensive Hormone Panel (bloodwork) — $100–$300: Comprehensive Hormone Panel (bloodwork) is a diagnostic endocrinology service used to clarify the condition before treatment decisions are made.
• Thyroid Function Panel (bloodwork) — $75–$150: Thyroid Function Panel (bloodwork) is a diagnostic endocrinology service used to clarify the condition before treatment decisions are made.
• Testosterone Evaluation & Management — $200–$350: Testosterone Evaluation & Management is a common endocrinology entry point on OpenDoc with transparent pricing before booking.
• Diabetes Education Session — $100–$200: Diabetes Education Session is a common endocrinology entry point on OpenDoc with transparent pricing before booking.

Frequently asked questions

How much does an endocrinologist visit cost without insurance?

An initial endocrinology consultation costs $250 to $450 cash-pay, with follow-up visits at $150 to $275. Lab work (thyroid panels, hormone levels, HbA1c) is typically $75 to $300 additional. The total cost for a first visit including labs is usually $325 to $750, often comparable to insured pricing after copay and deductible for patients with high-deductible health plans.

Do I need a referral to see an endocrinologist?

No referral is needed on OpenDoc. You can search directly for a board-certified endocrinologist. Endocrinology has some of the longest specialist wait times in medicine — often 2 to 4 months through insurance. Cash-pay patients can often be seen sooner.

How much does a thyroid ultrasound cost without insurance?

A thyroid ultrasound costs $150 to $350 on a cash-pay basis in an office-based setting. Hospital-based thyroid ultrasounds are often billed at $500 to $1,000+. If a thyroid nodule requires biopsy, fine-needle aspiration adds $300 to $700. Many endocrinologists perform ultrasounds in-office, providing same-day results and potentially same-day biopsy when indicated.

What is the difference between an endocrinologist and a primary care doctor for diabetes?

Primary care doctors manage straightforward Type 2 diabetes effectively. An endocrinologist is recommended for Type 1 diabetes, insulin pump and CGM management, uncontrolled diabetes (HbA1c persistently above 8% despite treatment), frequent hypoglycemia, diabetes in pregnancy, and complex medication regimens. Endocrinologists have deeper expertise in advanced insulin therapy and emerging diabetes technologies.

How much does a DEXA bone density scan cost without insurance?

A DEXA (dual-energy X-ray absorptiometry) bone density scan costs $75 to $250 cash-pay. It is the gold standard test for diagnosing osteoporosis and takes only 10 to 15 minutes. It is recommended for all women over 65 and men over 70, as well as younger adults with risk factors like long-term steroid use, fracture history, or early menopause.

Can an endocrinologist help with weight loss?

Yes, endocrinologists evaluate for hormonal causes of weight gain including thyroid dysfunction, Cushing's syndrome, insulin resistance, and PCOS. They can prescribe medications like GLP-1 receptor agonists (semaglutide/Wegovy, tirzepatide/Mounjaro) and manage the metabolic complexities of medical weight loss. An evaluation including targeted lab work costs $350 to $750 cash-pay.

What does a comprehensive hormone panel include?

A comprehensive hormone panel typically includes thyroid function (TSH, free T4, free T3), metabolic markers (fasting glucose, HbA1c, insulin), reproductive hormones (testosterone, estradiol, DHEA-S, LH, FSH), cortisol, and vitamin D. The specific tests ordered depend on your symptoms. Cash-pay lab pricing for a comprehensive panel is $100 to $300, significantly less than hospital lab pricing.

How much does insulin pump management cost without insurance?

Initial insulin pump setup and training costs $250 to $500 for the endocrinologist visit (the pump device and supplies are separate). Ongoing pump adjustment visits cost $150 to $275 every 2 to 3 months. The insulin pump hardware itself ranges from $3,000 to $8,000, with monthly supply costs of $200 to $500. Some patients find cash-pay endocrinology visits cheaper than specialist copays while maintaining the same quality of care.