Cost of a EGD with Biopsy Visit
in Connecticut
Reviewed by Momentary Medical Group West PC
Connecticut's healthcare costs run approximately 14% above the national average, reflecting the state's concentration of academic medical centers and specialized facilities. For an EGD with Biopsy in Connecticut, patients typically pay between $85 and $1,647, with a median cost of $402 based on negotiated insurance rates. With 461 active providers offering upper endoscopy with biopsy services across the state, patients have substantial options for finding quality care at varying price points throughout Connecticut's cities and towns.
Average
$711
Median
$402
Lowest
$85
Highest
$1,647
Providers
461
32% above national average
Compare Similar Procedures
How does upper endoscopy with biopsy compare to related procedures in Connecticut?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $90 | $323 | $1,830 | 426 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $85 | $475 | $2,117 | 445 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $213 | $525 | $2,338 | 437 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $118 | $301 | $683 | 414 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $63 | $93 | 1,940 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $64 | $127 | $677 | 1,444 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $45 | $70 | $328 | 895 |
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 Connecticut
Connecticut's healthcare costs average 14% above national levels, driven by the state's high concentration of academic medical centers and the elevated cost of living throughout much of the region. The state's small geographic footprint creates unique market dynamics where urban and suburban providers often compete within relatively close proximity.
Urban vs. Rural Provider Availability
Connecticut's dense population corridor from Stamford through Hartford concentrates most gastroenterology specialists, while rural areas in the eastern and northwestern regions have fewer options. This geographic concentration can drive up costs in urban areas while creating access challenges and longer travel times for rural patients seeking specialized endoscopic care.
Facility Type and Overhead Costs
Hospital-based outpatient endoscopy centers in Connecticut, particularly those affiliated with Yale-New Haven Health System and Hartford HealthCare, typically charge higher facility fees than independent ambulatory surgery centers. The state's numerous academic medical centers often carry premium pricing due to their teaching mission and advanced subspecialty capabilities.
Insurance Market Competition in Connecticut
The Connecticut insurance market features moderate competition among Anthem, Cigna, and UHC, with each maintaining distinct provider networks and negotiated rate structures. This competitive environment has created varied pricing across different insurers for the same EGD with biopsy procedure, making insurance network selection a significant cost factor for patients.
Physician Supply and Demand in Connecticut
With 461 active providers offering EGD with biopsy services, Connecticut maintains a relatively robust supply of gastroenterologists per capita compared to national averages. This adequate provider density helps moderate pricing pressure and reduces wait times, though demand remains concentrated in the state's more populated southwestern and central regions.
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 Connecticut
What is the average cost of a EGD with Biopsy visit in Connecticut without insurance?
Does Connecticut Medicaid cover EGD with Biopsy visits?
How do I find an affordable EGD with Biopsy near me in Connecticut?
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 Connecticut?
How does telemedicine affect the cost of seeing a EGD with Biopsy in Connecticut?
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 |