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EGD with Biopsy

Cost of a EGD with Biopsy Visit:
$250-$1,627

How much does a egd with biopsy visit cost? The national median negotiated rate for CPT 43239 is $424, with rates ranging from $250 to $1,627 across 152,674 providers.

National Median

$424

Low End (P5)

$250

High End (P95)

$1,627

Providers

152,674

EGD with Biopsy Visit Costs by State

Click any state to see detailed egd with biopsy visit pricing. Colors represent the median negotiated rate for CPT 43239.

Median Visit Cost

$250
$1,627

EGD with Biopsy Visit Cost by State: All 50 States Ranked

States ranked from lowest to highest median egd with biopsy visit rate for CPT 43239 (EGD with biopsy).

RankStateAverage
1Wisconsin
Range: $116$5,357
$615
2North Dakota
Range: $181$2,396
$2,396
3Minnesota
Range: $90$2,396
$2,396
4South Dakota
Range: $85$2,396
$332
5Massachusetts
Range: $80$1,654
$508
6New York
Range: $166$1,647
$417
7New Hampshire
Range: $341$1,085
$720
8Rhode Island
Range: $80$1,647
$418
9Connecticut
Range: $85$1,647
$402
10Delaware
Range: $80$1,647
$324
11West Virginia
Range: $80$1,647
$298
12Pennsylvania
Range: $80$1,647
$273
13Maine
Range: $404$783
$707
14Nebraska
Range: $195$902
$791
15Oregon
Range: $80$1,352
$227
16Vermont
Range: $273$907
$476
17Wyoming
Range: $173$1,151
$322
18California
Range: $80$1,352
$196
19Georgia
Range: $85$1,084
$396
20Iowa
Range: $85$902
$560
21New Jersey
Range: $83$1,165
$275
22District of Columbia
Range: $86$995
$432
23North Carolina
Range: $80$1,088
$318
24Missouri
Range: $130$712
$467
25Utah
Range: $80$820
$384
26New Mexico
Range: $90$834
$347
27Washington
Range: $80$954
$236
28Hawaii
Range: $80$903
$250
29Maryland
Range: $121$810
$273
30Indiana
Range: $80$810
$308
31Colorado
Range: $85$829
$236
32Kentucky
Range: $60$830
$220
33Illinois
Range: $70$696
$339
34Arkansas
Range: $85$712
$286
35Virginia
Range: $90$728
$257
36Idaho
Range: $80$802
$188
37Michigan
Range: $80$685
$259
38Mississippi
Range: $114$621
$286
39Kansas
Range: $130$526
$345
40Louisiana
Range: $85$634
$274
41Texas
Range: $80$649
$230
42Ohio
Range: $85$621
$220
43South Carolina
Range: $80$627
$211
44Alabama
Range: $80$566
$269
45Nevada
Range: $85$571
$256
46Tennessee
Range: $85$604
$200
47Oklahoma
Range: $85$569
$137
48Alaska
Range: $80$606
$80
49Florida
Range: $35$659
$55
50Arizona
Range: $81$493
$161
51Montana
Range: $80$523
$80

Frequently Asked Questions

How much does a egd with biopsy cost without insurance?

The average negotiated rate for a egd with biopsy (CPT 43239) is $538 nationally. Rates typically range from $250 to $1,627 depending on your state and provider. Without insurance, you may pay the provider's full charge rate, which can be 2-3x higher than negotiated rates.

How much does a egd with biopsy cost with insurance?

With insurance, your out-of-pocket cost for a egd with biopsy depends on your plan's copay, coinsurance, and whether you've met your deductible. The average insurer-negotiated rate is $538. Most plans charge a specialist copay of $30-$75, or you may owe a percentage (typically 20-30%) after your deductible is met.

Why do egd with biopsy costs vary by state?

Healthcare costs vary significantly by state due to differences in cost of living, provider supply and demand, state regulations, and negotiated rates between insurers and providers. Urban areas and states with higher costs of living (like New York and California) tend to have higher rates.

What does CPT code 43239 cover?

CPT 43239 is the billing code for: EGD with biopsy. This is one of the standard codes used when billing for this procedure.

What factors affect the cost of a egd with biopsy?

Several factors influence the cost: (1) Your geographic location — rates vary 2-3x between states, (2) Whether you have insurance and which plan, (3) Whether the provider is in-network, (4) The complexity of your case, (5) The facility where the procedure is performed.

Get Your Personalized Cost Estimate

These are the negotiated rates providers across the US are contracted to accept. Your personal share depends on your deductible and coinsurance. Call your insurer's member line with CPT code 43239 to get your exact estimate or talk to our AI to get your answers.

Written by Jayant Panwar | Last reviewed: Q1 2026

Rates sourced from Transparency in Coverage machine-readable files (Q1 2026). Negotiated rates are contracted prices between insurers and individual providers and do not represent guaranteed patient out-of-pocket costs. Actual costs depend on insurance plan terms, deductible status, coinsurance rate, and specific services received.