Cost of a EGD with Biopsy Visit
in Arkansas
Reviewed by Momentary Medical Group West PC
Arkansas patients benefit from EGD with Biopsy costs that run approximately 29% below national averages, reflecting the state's lower healthcare overhead and limited urban competition. For an EGD with Biopsy procedure, patients typically pay between $85 and $712, with a median negotiated rate of $286 across Arkansas's 140 active providers. Whether you're in Little Rock's medical district or rural counties served by regional hospitals, Arkansas offers multiple EGD with Biopsy specialists to serve patients throughout the Natural State.
Average
$361
Median
$286
Lowest
$85
Highest
$712
Providers
140
33% below national average
Compare Similar Procedures
How does upper endoscopy with biopsy compare to related procedures in Arkansas?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $85 | $316 | $634 | 131 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $85 | $349 | $815 | 134 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $85 | $455 | $853 | 116 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $90 | $272 | $535 | 119 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $23 | $358 | 223 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $72 | $163 | $369 | 159 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $49 | $96 | $188 | 131 |
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 Arkansas
Arkansas gastroenterology costs run 29% below national averages, reflecting the state's rural character and lower practice overhead compared to major metropolitan markets. The concentration of specialists in Little Rock and Fayetteville creates competitive pricing in urban areas while leaving some rural counties dependent on traveling providers.
Urban vs. Rural Provider Availability
Central Arkansas around Little Rock hosts the majority of the state's gastroenterologists, while rural regions often rely on visiting specialists or require travel to regional medical centers. This geographic concentration means rural patients may face higher travel costs but can sometimes access lower base procedure fees at community hospitals.
Facility Type and Overhead Costs
Arkansas gastroenterology practices range from independent endoscopy centers with lower overhead to hospital-owned clinics that typically charge facility fees on top of physician charges. Major health systems like CHI St. Vincent and Baptist Health dominate urban markets, while rural areas often depend on critical access hospitals with different cost structures.
Insurance Market Competition in Arkansas
Blue Cross Blue Shield of Arkansas controls a dominant market share, particularly in rural areas where it may be the only ACA marketplace option. Limited insurer competition reduces pressure for aggressive rate negotiations but also creates more predictable pricing across providers statewide.
Physician Supply and Demand in Arkansas
With 140 providers performing EGD with Biopsy procedures, Arkansas maintains adequate specialist coverage for its population size, though geographic distribution favors urban areas. This reasonable supply helps keep costs moderate compared to physician-shortage states, though rural access remains challenging.
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 Arkansas
What is the average cost of a EGD with Biopsy visit in Arkansas without insurance?
Does Arkansas Medicaid cover EGD with Biopsy visits?
How do I find an affordable EGD with Biopsy near me in Arkansas?
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 Arkansas?
How does telemedicine affect the cost of seeing a EGD with Biopsy in Arkansas?
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 |
