Cost of a EGD with Biopsy Visit
in Alaska
Reviewed by Momentary Medical Group West PC
Alaska's remote geography and limited specialist infrastructure create unique challenges for patients needing specialized procedures like EGD with Biopsy. With 373 active providers across the state, patients typically encounter negotiated rates ranging from $80 to $606, with a median cost of $80 for this diagnostic procedure. Given Alaska's vast distances between population centers, many patients must travel significant distances to access EGD with Biopsy services, making cost transparency even more critical for healthcare planning.
Average
$255
Median
$80
Lowest
$80
Highest
$606
Providers
373
53% below national average
Compare Similar Procedures
How does upper endoscopy with biopsy compare to related procedures in Alaska?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $80 | $80 | $648 | 374 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $80 | $837 | 375 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $80 | $3,638 | 358 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $105 | $275 | $759 | 37 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $80 | $95 | 388 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $80 | $80 | $345 | 372 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $51 | $328 | $991 | 375 |
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 Alaska
Alaska's healthcare costs run approximately 35% above national averages, driven by the state's extreme geographic isolation, limited provider competition, and high operational costs for medical facilities. The Last Frontier's unique challenges create a complex cost structure where patients often face both higher procedure fees and significant travel expenses to access specialized care.
Urban vs. Rural Provider Availability
Most EGD with Biopsy providers concentrate in Anchorage and Fairbanks, leaving residents in rural communities like the Kenai Peninsula, Southeast Alaska, or the Arctic regions with limited local options. This geographic disparity forces many patients to travel hundreds of miles for care, often requiring overnight stays that add substantially to total healthcare costs.
Facility Type and Overhead Costs
Alaska's dominant health systems, including Providence Alaska Medical Center and Fairbanks Memorial Hospital, operate most hospital-based outpatient clinics where facility fees can double the total procedure cost. Independent gastroenterology practices are rare outside major population centers, limiting cost competition and patient choice for EGD with Biopsy procedures.
Insurance Market Competition in Alaska
Premera's market dominance means limited insurer competition, which typically results in less aggressive negotiation of provider rates. The concentrated market structure gives healthcare systems more leverage in rate negotiations, contributing to Alaska's above-average procedure costs compared to states with more competitive insurance markets.
Physician Supply and Demand in Alaska
With 373 providers handling EGD with Biopsy procedures across a state larger than Texas, California, and Montana combined, the specialist shortage drives up costs and extends wait times. This supply-demand imbalance allows providers to maintain premium pricing while patients have limited alternatives, particularly in regions outside the Anchorage-Fairbanks corridor.
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 Alaska
What is the average cost of a EGD with Biopsy visit in Alaska without insurance?
Does Alaska Medicaid cover EGD with Biopsy visits?
How do I find an affordable EGD with Biopsy near me in Alaska?
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 Alaska?
How does telemedicine affect the cost of seeing a EGD with Biopsy in Alaska?
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 |