Cost of a EGD with Biopsy Visit
in Georgia
Reviewed by Momentary Medical Group West PC
Georgia's healthcare landscape features over 150 hospitals serving 10.7 million residents, with significant cost variations across the state's diverse urban and rural markets. Patients seeking an EGD with Biopsy in Georgia typically pay between $85 and $1,084, with a median out-of-pocket cost of $396 based on negotiated insurance rates. With over 3,000 active providers offering upper endoscopy services throughout the state, patients can browse all EGD with Biopsy specialists across Georgia's major metro areas and rural communities.
Average
$522
Median
$396
Lowest
$85
Highest
$1,084
Providers
3,187
3% below national average
Compare Similar Procedures
How does upper endoscopy with biopsy compare to related procedures in Georgia?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $90 | $448 | $982 | 3,108 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $85 | $525 | $1,250 | 3,159 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $225 | $632 | $1,310 | 2,968 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $119 | $350 | $830 | 2,875 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $29 | $93 | 3,676 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $68 | $206 | $653 | 3,205 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $50 | $118 | $319 | 3,173 |
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 Georgia
Georgia's EGD with Biopsy costs run approximately 1% below national averages, reflecting the state's moderate cost of living and competitive provider market across major metropolitan areas. The state's mix of urban centers like Atlanta and vast rural counties creates significant geographic variation in both access and pricing.
Urban vs. Rural Provider Availability
Atlanta's metro area concentrates most of Georgia's gastroenterology specialists, while rural counties often lack local EGD with Biopsy providers entirely. Patients in South Georgia may travel 100+ miles for upper endoscopy services, though some rural hospitals offer visiting specialist clinics. This geographic disparity creates higher effective costs for rural patients due to travel and time off work.
Facility Type and Overhead Costs
Major health systems like Emory Healthcare, Piedmont, and WellStar dominate Georgia's hospital market, often charging higher facility fees for EGD with Biopsy procedures than independent practices. Ambulatory surgery centers have grown rapidly in Georgia, typically offering 20-30% lower costs than hospital outpatient departments. Academic centers like the Medical College of Georgia may have teaching-related overhead that affects pricing.
Insurance Market Competition in Georgia
Anthem Blue Cross Blue Shield holds the largest market share in Georgia, followed by UnitedHealthcare and Cigna, creating moderate insurer competition for provider contracts. The individual marketplace offers limited plan choices in many counties, reducing competitive pressure on negotiated rates. Large employer groups often secure better EGD with Biopsy pricing through direct contracts with major health systems.
Physician Supply and Demand in Georgia
With over 3,000 providers offering upper endoscopy services, Georgia has adequate specialist supply in urban areas but significant shortages in rural regions. The concentration of providers in Atlanta and other metro areas helps keep costs competitive through market saturation. Wait times for routine EGD with Biopsy procedures are typically 2-4 weeks in cities but may extend to 6-8 weeks in underserved areas.
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 Georgia
What is the average cost of a EGD with Biopsy visit in Georgia without insurance?
Does Georgia Medicaid cover EGD with Biopsy visits?
How do I find an affordable EGD with Biopsy near me in Georgia?
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 Georgia?
How does telemedicine affect the cost of seeing a EGD with Biopsy in Georgia?
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 |