Cost of a EGD with Biopsy Visit
in Nevada
Reviewed by Momentary Medical Group West PC
Nevada's rapidly growing healthcare infrastructure includes over 2,600 active EGD with Biopsy providers, reflecting the state's expanding population from California migration and Las Vegas tourism growth. Patients seeking upper endoscopy with biopsy procedures typically pay between $85 and $571, with a median out-of-pocket cost of $256 based on negotiated insurance rates across the Silver State. Nevada residents can browse all available EGD with Biopsy providers throughout the state to find the most cost-effective option for their specific needs.
Average
$304
Median
$256
Lowest
$85
Highest
$571
Providers
2,691
44% below national average
Compare Similar Procedures
How does upper endoscopy with biopsy compare to related procedures in Nevada?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $204 | $295 | $553 | 2,637 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $85 | $331 | $701 | 2,781 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $320 | $451 | $740 | 2,572 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $197 | $228 | $467 | 2,544 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $29 | $85 | 2,914 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $85 | $219 | $321 | 2,598 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $76 | $133 | $221 | 2,649 |
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 Nevada
Nevada's healthcare costs run approximately 8% above the national average, driven by the state's rapid population growth and concentration of medical resources in the Las Vegas and Reno metropolitan areas. The state's unique economy, heavily dependent on tourism and hospitality, creates distinct insurance coverage patterns that influence provider pricing strategies.
Urban vs. Rural Provider Availability
Nevada's vast rural counties often lack specialized gastroenterology services, forcing patients to travel to Las Vegas or Reno for EGD with Biopsy procedures. Urban areas like Clark County have high provider density and competitive pricing, while rural northern and eastern Nevada regions may have limited options and higher per-procedure costs due to travel and overhead expenses. This geographic disparity creates significant access and cost challenges for patients living outside major metropolitan areas.
Facility Type and Overhead Costs
Las Vegas's major health systems including Sunrise Health and University Medical Center operate hospital-based outpatient clinics with higher facility fees compared to independent endoscopy centers. Nevada's growing ambulatory surgery center market offers cost-effective alternatives for routine procedures, with several specialized gastroenterology centers providing competitive pricing. Independent practices typically have lower overhead costs than hospital-affiliated clinics, translating to more affordable patient charges.
Insurance Market Competition in Nevada
Nevada's insurance market features moderate competition with UnitedHealthcare, Anthem, and Aetna as dominant players, creating relatively stable negotiated rate environments. The state's lack of a comprehensive all-payer claims database limits price transparency, potentially reducing competitive pressure on provider pricing. Limited insurer competition in rural Nevada markets may result in higher negotiated rates compared to urban areas with multiple insurance options.
Physician Supply and Demand in Nevada
With over 2,600 active EGD with Biopsy providers statewide, Nevada maintains adequate specialist availability in urban areas but faces shortages in rural regions. This supply distribution creates pricing disparities where rural patients may pay premium rates due to limited provider options and travel requirements. Urban markets like Las Vegas benefit from competitive pricing due to higher provider density, while rural areas experience longer wait times and potentially higher costs.
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 Nevada
What is the average cost of a EGD with Biopsy visit in Nevada without insurance?
Does Nevada Medicaid cover EGD with Biopsy visits?
How do I find an affordable EGD with Biopsy near me in Nevada?
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 Nevada?
How does telemedicine affect the cost of seeing a EGD with Biopsy in Nevada?
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 |