Cost of a EGD with Biopsy Visit
in Minnesota
Reviewed by Momentary Medical Group West PC
Minnesota's healthcare system ranks among the top 10 nationally for quality outcomes, with Mayo Clinic and other leading institutions driving innovation in gastroenterology services. Patients seeking an EGD with Biopsy in Minnesota typically find costs ranging from $90 to $2,396, with a median rate of $2,396 based on negotiated insurance rates. The state's 1,809 active EGD with Biopsy providers offer patients substantial choice when browsing specialists throughout Minnesota's metro and rural communities.
Average
$1,627
Median
$2,396
Lowest
$90
Highest
$2,396
Providers
1,809
202% above national average
Compare Similar Procedures
How does upper endoscopy with biopsy compare to related procedures in Minnesota?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $90 | $1,305 | $2,255 | 1,824 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $85 | $504 | $1,970 | 472 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $602 | $1,954 | 406 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $117 | $411 | $695 | 368 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $25 | $26 | $73 | 1,965 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $77 | $238 | $644 | 567 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $68 | $68 | $175 | 1,728 |
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 Minnesota
Minnesota's healthcare costs run approximately 2% above the national average, reflecting the state's high-quality provider networks and advanced medical infrastructure. The concentration of world-class facilities like Mayo Clinic in Rochester creates both premium pricing and exceptional care options throughout the state.
Urban vs. Rural Provider Availability
The Twin Cities metro area contains over 70% of Minnesota's gastroenterology specialists, creating cost premiums but shorter wait times for EGD with Biopsy procedures. Rural patients in northern and southwestern Minnesota often travel 100+ miles to reach specialists, with some choosing Fargo or Sioux Falls providers for convenience. This geographic concentration drives higher facility costs in Minneapolis-St. Paul while leaving rural areas underserved.
Facility Type and Overhead Costs
Hospital-owned gastroenterology practices dominate Minnesota's market, with M Health Fairview, Allina Health, and Essentia Health operating multiple endoscopy centers across the state. These health systems typically charge higher facility fees than independent practices, reflecting their comprehensive care model and teaching hospital overhead. Ambulatory surgery centers are expanding rapidly in suburban markets, offering cost-effective alternatives to hospital outpatient departments.
Insurance Market Competition in Minnesota
Blue Cross Blue Shield of Minnesota, UnitedHealthcare, and HealthPartners maintain relatively balanced market share, preventing any single insurer from dominating rate negotiations. This competitive environment benefits patients through reasonable negotiated rates for EGD with Biopsy procedures, though rural markets may have fewer insurer options. The state's active individual marketplace provides additional competition that keeps commercial rates competitive.
Physician Supply and Demand in Minnesota
With 1,809 active EGD with Biopsy providers serving 5.7 million residents, Minnesota maintains adequate specialist availability compared to national averages. This healthy supply helps moderate pricing pressure while maintaining reasonable appointment availability, typically 2-4 weeks for routine procedures. The presence of Mayo Clinic's training programs ensures a steady pipeline of new gastroenterologists entering the Minnesota market.
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 Minnesota
What is the average cost of a EGD with Biopsy visit in Minnesota without insurance?
Does Minnesota Medicaid cover EGD with Biopsy visits?
How do I find an affordable EGD with Biopsy near me in Minnesota?
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 Minnesota?
How does telemedicine affect the cost of seeing a EGD with Biopsy in Minnesota?
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 |