Cost of a EGD with Biopsy Visit
in Arizona
Reviewed by Momentary Medical Group West PC
Arizona's competitive ambulatory surgery center market helps keep EGD with Biopsy costs relatively accessible compared to neighboring states. Patients typically pay between $80.61 and $492.95, with a median cost of $160.63 for upper endoscopy with biopsy procedures across the state's 6,206 active providers. Arizona residents benefit from robust provider networks spanning major metropolitan areas and rural communities, allowing patients to browse all available specialists statewide.
Average
$245
Median
$161
Lowest
$81
Highest
$493
Providers
6,206
55% below national average
Compare Similar Procedures
How does upper endoscopy with biopsy compare to related procedures in Arizona?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $155 | $273 | $472 | 5,125 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $85 | $233 | $567 | 5,479 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $213 | $367 | $715 | 5,353 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $71 | $174 | $455 | 5,070 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $16 | $80 | 6,498 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $60 | $110 | $264 | 6,403 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $51 | $92 | $178 | 5,607 |
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 Arizona
Arizona's EGD with Biopsy costs run approximately 5% above national averages, reflecting the state's growing population and increased demand for specialist services. The competitive ambulatory surgery center market helps moderate pricing pressure compared to hospital-dominated healthcare markets in neighboring states.
Urban vs. Rural Provider Availability
Phoenix and Tucson metropolitan areas concentrate most of Arizona's gastroenterology specialists, while rural counties like Cochise and Gila often require patients to travel significant distances for EGD with Biopsy procedures. This geographic disparity creates cost variations based on facility overhead and limited competition in underserved areas.
Facility Type and Overhead Costs
Independent ambulatory surgery centers in Arizona typically charge 20-30% less for EGD with Biopsy procedures compared to hospital-based outpatient clinics. Major health systems like Banner Health and Dignity Health operate extensive networks, but their hospital affiliation often results in higher facility fees.
Insurance Market Competition in Arizona
Arizona's balanced mix of UnitedHealthcare, Blue Cross Blue Shield of Arizona, and Aetna creates competitive pressure that benefits patients through lower negotiated rates. This multi-payer environment prevents any single insurer from dominating rate negotiations, maintaining reasonable pricing for specialty procedures.
Physician Supply and Demand in Arizona
With 6,206 active EGD with Biopsy providers statewide, Arizona maintains adequate specialist availability relative to its population, preventing supply-driven price inflation. This robust provider network allows patients reasonable choice in selecting cost-effective options while maintaining acceptable wait times for non-urgent procedures.
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 Arizona
What is the average cost of a EGD with Biopsy visit in Arizona without insurance?
Does Arizona Medicaid cover EGD with Biopsy visits?
How do I find an affordable EGD with Biopsy near me in Arizona?
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 Arizona?
How does telemedicine affect the cost of seeing a EGD with Biopsy in Arizona?
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 |