Cost of a EGD with Biopsy Visit
in South Carolina
Reviewed by Momentary Medical Group West PC
South Carolina's healthcare landscape reflects the state's blend of urban medical centers and rural communities, with over 1,350 EGD with Biopsy providers serving patients across the Palmetto State. Based on negotiated insurance rates, patients typically pay between $80 and $627 for an EGD with Biopsy visit, with a median cost of $211. This pricing variation stems from differences in facility type, geographic location, and provider specialization throughout South Carolina's diverse healthcare market.
Average
$306
Median
$211
Lowest
$80
Highest
$627
Providers
1,357
43% below national average
Compare Similar Procedures
How does upper endoscopy with biopsy compare to related procedures in South Carolina?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $90 | $304 | $695 | 1,131 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $306 | $782 | 1,333 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $414 | $936 | 1,265 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $109 | $243 | $564 | 1,048 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $21 | $88 | 1,517 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $62 | $137 | $364 | 1,356 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $43 | $90 | $221 | 1,332 |
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 South Carolina
South Carolina's EGD with Biopsy costs run approximately 1% below national averages, reflecting the state's moderate cost of living and competitive insurance market between major carriers. The Palmetto State's mix of urban medical centers in Charleston, Columbia, and Greenville alongside extensive rural areas creates distinct pricing tiers based on geography and facility type.
Urban vs. Rural Provider Availability
The Charleston-North Charleston metropolitan area and Columbia region concentrate most of South Carolina's specialized gastroenterology practices, while rural counties often rely on visiting specialists or require patient travel for EGD procedures. This geographic disparity means patients in smaller towns like Orangeburg or Conway may face higher travel costs but potentially lower procedure fees than those in major metro areas.
Facility Type and Overhead Costs
Hospital-based endoscopy centers affiliated with systems like MUSC Health, Prisma Health, or McLeod Health typically charge higher facility fees than independent gastroenterology clinics throughout South Carolina. Ambulatory surgery centers have gained market share in the state, often providing EGD with Biopsy procedures at costs between hospital and office-based rates.
Insurance Market Competition in South Carolina
BlueCross BlueShield of South Carolina maintains significant market share alongside national carriers UnitedHealthcare and Aetna, creating moderate insurer competition that influences negotiated rates with gastroenterology providers. This competitive landscape helps explain why South Carolina EGD costs remain close to national medians despite the state's rural healthcare challenges.
Physician Supply and Demand in South Carolina
With over 1,350 active EGD with Biopsy providers serving South Carolina's 5.2 million residents, the state maintains adequate specialist availability in urban areas while facing shortages in rural regions. This supply distribution affects both pricing and wait times, with Charleston and Columbia offering more provider choice and competitive pricing than underserved rural counties.
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 South Carolina
What is the average cost of a EGD with Biopsy visit in South Carolina without insurance?
Does South Carolina Medicaid cover EGD with Biopsy visits?
How do I find an affordable EGD with Biopsy near me in South Carolina?
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 South Carolina?
How does telemedicine affect the cost of seeing a EGD with Biopsy in South Carolina?
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 |