Cost of a EGD with Biopsy Visit
in Alabama
Reviewed by Momentary Medical Group West PC
Alabama's healthcare costs run approximately 8% below the national average, making it one of the more affordable states for specialized procedures like EGD with Biopsy. Patients in Alabama typically pay between $80 and $566 for an upper endoscopy with biopsy, with a median out-of-pocket cost of $269. The state has 2,667 active providers offering this procedure across urban centers like Birmingham and Mobile as well as rural communities, giving patients numerous options to browse all providers in Alabama.
Average
$305
Median
$269
Lowest
$80
Highest
$566
Providers
2,667
43% below national average
Compare Similar Procedures
How does upper endoscopy with biopsy compare to related procedures in Alabama?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $147 | $323 | $649 | 2,390 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $372 | $762 | 2,672 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $412 | $870 | 2,649 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $98 | $239 | $500 | 2,364 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $11 | $19 | $80 | 2,739 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $60 | $148 | $329 | 2,687 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $39 | $81 | $189 | 2,668 |
Important: These are cost estimates only — not a quote and not medical advice.
The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 43239 — EGD with biopsy). They represent what a patient might pay without insurance.
Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.
This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.
Where this data comes from & what CPT 43239 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 43239 (EGD with biopsy), as mandated by the CMS Price Transparency Rule.
What CPT 43239 covers: the provider's professional fee for upper endoscopy with biopsy. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.
How to read this data
Negotiated Rate
The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.
P5, Median, P95
P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.
What this does not tell you
These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.
Why EGD with Biopsy Visit Costs Vary Across Alabama
Alabama's healthcare costs run 8% below the national average, reflecting the state's lower cost of living and reduced provider overhead compared to coastal states. The concentration of major medical centers in Birmingham, Huntsville, and Mobile creates regional price variations across the state's diverse geographic landscape.
Urban vs. Rural Provider Availability
Alabama's rural counties often have limited gastroenterology specialists, forcing patients to travel to metropolitan areas like Birmingham or Montgomery for EGD with biopsy procedures. This geographic mismatch between patient populations and specialist availability can drive up costs due to facility fees at hospital-based clinics and limited competition in underserved regions.
Facility Type and Overhead Costs
Major health systems like UAB Medicine and Baptist Health dominate Alabama's hospital market, with their outpatient clinics typically charging higher facility fees than independent gastroenterology practices. Ambulatory surgery centers offer a middle-ground option, often providing EGD with biopsy services at lower costs than hospital-based facilities while maintaining high quality standards.
Insurance Market Competition in Alabama
Blue Cross Blue Shield of Alabama holds a dominant market position with limited competition from other carriers, resulting in less aggressive rate negotiations that can keep procedure costs relatively stable. The state's insurance marketplace has fewer carrier options than many other states, reducing competitive pressure on reimbursement rates for specialized procedures like upper endoscopy.
Physician Supply and Demand in Alabama
With 2,667 providers offering EGD with biopsy procedures statewide, Alabama appears to have adequate specialist availability in urban areas, though rural regions face significant access challenges. This uneven distribution creates longer wait times and higher costs in underserved areas while maintaining competitive pricing in markets like Birmingham and Huntsville where multiple providers compete for patients.
Jayant Panwar
CEO, Momentary Labs · San Francisco, CA
Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.
The cost figures on this page reflect his ongoing work to make this data accessible to patients.
Frequently Asked Questions — EGD with Biopsy Costs in Alabama
What is the average cost of a EGD with Biopsy visit in Alabama without insurance?
Does Alabama Medicaid cover EGD with Biopsy visits?
How do I find an affordable EGD with Biopsy near me in Alabama?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a EGD with Biopsy visit in Alabama?
How does telemedicine affect the cost of seeing a EGD with Biopsy in Alabama?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 43239)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $116 – $5,357 | $2,029 |
| 2 | North Dakota Range: $181 – $2,396 | $1,658 |
| 3 | Minnesota Range: $90 – $2,396 | $1,627 |
| 4 | South Dakota Range: $85 – $2,396 | $938 |
| 5 | Massachusetts Range: $80 – $1,654 | $747 |
| 6 | New York Range: $166 – $1,647 | $743 |
| 7 | New Hampshire Range: $341 – $1,085 | $715 |
| 8 | Rhode Island Range: $80 – $1,647 | $715 |
| 9 | Connecticut Range: $85 – $1,647 | $711 |
| 10 | Delaware Range: $80 – $1,647 | $684 |
| 11 | West Virginia Range: $80 – $1,647 | $675 |
| 12 | Pennsylvania Range: $80 – $1,647 | $666 |
| 13 | Maine Range: $404 – $783 | $631 |
| 14 | Nebraska Range: $195 – $902 | $629 |
| 15 | Oregon Range: $80 – $1,352 | $553 |
| 16 | Vermont Range: $273 – $907 | $552 |
| 17 | Wyoming Range: $173 – $1,151 | $549 |
| 18 | California Range: $80 – $1,352 | $542 |
| 19 | Georgia Range: $85 – $1,084 | $522 |
| 20 | Iowa Range: $85 – $902 | $516 |
| 21 | New Jersey Range: $83 – $1,165 | $508 |
| 22 | District of Columbia Range: $86 – $995 | $504 |
| 23 | North Carolina Range: $80 – $1,088 | $495 |
| 24 | Missouri Range: $130 – $712 | $436 |
| 25 | Utah Range: $80 – $820 | $428 |
| 26 | New Mexico Range: $90 – $834 | $424 |
| 27 | Washington Range: $80 – $954 | $423 |
| 28 | Hawaii Range: $80 – $903 | $411 |
| 29 | Maryland Range: $121 – $810 | $401 |
| 30 | Indiana Range: $80 – $810 | $399 |
| 31 | Colorado Range: $85 – $829 | $383 |
| 32 | Kentucky Range: $60 – $830 | $370 |
| 33 | Illinois Range: $70 – $696 | $368 |
| 34 | Arkansas Range: $85 – $712 | $361 |
| 35 | Virginia Range: $90 – $728 | $358 |
| 36 | Idaho Range: $80 – $802 | $356 |
| 37 | Michigan Range: $80 – $685 | $341 |
| 38 | Mississippi Range: $114 – $621 | $340 |
| 39 | Kansas Range: $130 – $526 | $333 |
| 40 | Louisiana Range: $85 – $634 | $331 |
| 41 | Texas Range: $80 – $649 | $320 |
| 42 | Ohio Range: $85 – $621 | $309 |
| 43 | South Carolina Range: $80 – $627 | $306 |
| 44 | Alabama Range: $80 – $566 | $305 |
| 45 | Nevada Range: $85 – $571 | $304 |
| 46 | Tennessee Range: $85 – $604 | $296 |
| 47 | Oklahoma Range: $85 – $569 | $264 |
| 48 | Alaska Range: $80 – $606 | $255 |
| 49 | Florida Range: $35 – $659 | $250 |
| 50 | Arizona Range: $81 – $493 | $245 |
| 51 | Montana Range: $80 – $523 | $228 |