Cost of a EGD with Biopsy Visit
in Kansas
Reviewed by Momentary Medical Group West PC
Kansas maintains one of the most affordable healthcare markets in the Midwest, with EGD with Biopsy procedures costing approximately 15% below national averages. Patients typically pay between $130 and $526 for these diagnostic procedures, with a median cost of $345 based on negotiated insurance rates across the state's 1,766 active providers. From the academic medical centers in Kansas City to community hospitals in smaller towns like Dodge City and Garden City, Kansas offers multiple options for patients requiring upper endoscopy with biopsy services.
Average
$333
Median
$345
Lowest
$130
Highest
$526
Providers
1,766
38% below national average
Compare Similar Procedures
How does upper endoscopy with biopsy compare to related procedures in Kansas?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $174 | $289 | $530 | 1,761 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $188 | $328 | $646 | 1,759 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $239 | $401 | $713 | 1,716 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $115 | $259 | $411 | 1,732 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $21 | $53 | 1,967 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $71 | $169 | $316 | 1,767 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $48 | $94 | $165 | 1,874 |
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 Kansas
Kansas healthcare costs run approximately 7% below national averages, reflecting the state's lower cost of living and competitive provider market in major metropolitan areas. The state's vast rural geography creates significant access challenges, with some counties having no gastroenterologists within 50 miles, affecting both availability and pricing structures.
Urban vs. Rural Provider Availability
The Kansas City metro and Wichita areas concentrate most specialty gastroenterology services, while rural counties often rely on traveling physicians or require patients to drive hours for procedures. This geographic disparity means rural patients may face higher travel costs but sometimes lower procedure fees, as rural hospitals compete aggressively to retain patients who might otherwise seek care in urban centers.
Facility Type and Overhead Costs
Major health systems like The University of Kansas Health System and Ascension Via Christi operate hospital-based endoscopy centers with higher facility fees, while independent gastroenterology practices often use lower-cost ambulatory surgery centers. Free-standing endoscopy centers in Kansas typically charge 30-50% less than hospital-based facilities due to lower overhead and streamlined operations.
Insurance Market Competition in Kansas
The Kansas insurance market shows limited competition with Blue Cross Blue Shield Kansas holding dominant market share, followed by UnitedHealthcare and Aetna in select regions. This concentration can result in less aggressive rate negotiations between insurers and providers, potentially keeping procedure costs stable but limiting dramatic price variations across different insurance plans.
Physician Supply and Demand in Kansas
With 1,766 providers offering EGD with Biopsy services across the state, Kansas maintains adequate specialist coverage in urban areas but faces shortages in rural regions. The relatively balanced supply in metro areas helps keep wait times reasonable and provides patients with cost comparison options, while rural shortages can lead to longer scheduling delays but sometimes more competitive cash-pay pricing.
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 Kansas
What is the average cost of a EGD with Biopsy visit in Kansas without insurance?
Does Kansas Medicaid cover EGD with Biopsy visits?
How do I find an affordable EGD with Biopsy near me in Kansas?
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 Kansas?
How does telemedicine affect the cost of seeing a EGD with Biopsy in Kansas?
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 |