Cost of a EGD with Biopsy Visit
in Utah
Reviewed by Momentary Medical Group West PC
Utah's healthcare market operates approximately 2% below national pricing averages, benefiting from moderate insurer competition and Medicaid expansion coverage. For an EGD with Biopsy procedure in Utah, patients typically encounter costs ranging from $80 to $820, with a median negotiated rate of $384 across 441 active providers statewide. Utah maintains a solid network of gastroenterology specialists throughout the Wasatch Front and rural communities, allowing patients to browse multiple provider options when seeking upper endoscopy services.
Average
$428
Median
$384
Lowest
$80
Highest
$820
Providers
441
21% below national average
Compare Similar Procedures
How does upper endoscopy with biopsy compare to related procedures in Utah?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $85 | $499 | $741 | 423 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $537 | $944 | 432 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $722 | $1,090 | 362 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $98 | $491 | $627 | 329 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $26 | $88 | 464 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $80 | $202 | $340 | 425 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $51 | $143 | $241 | 409 |
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 Utah
Utah's healthcare costs run approximately 2% below national averages, reflecting the state's moderate cost of living and competitive insurance market dynamics. The concentration of major health systems along the Wasatch Front creates pricing advantages compared to more isolated rural markets.
Urban vs. Rural Provider Availability
The Salt Lake City metropolitan area and surrounding Wasatch Front communities host the majority of Utah's gastroenterology specialists, while rural counties may require longer travel distances for EGD procedures. This geographic concentration can create cost differentials and scheduling advantages for urban patients versus those in southeastern or southwestern Utah.
Facility Type and Overhead Costs
Intermountain Healthcare and University of Utah Health dominate Utah's hospital market, with their outpatient endoscopy centers often carrying higher facility fees than independent gastroenterology practices. Ambulatory surgery centers throughout Utah typically offer competitive pricing for routine EGD with biopsy procedures without hospital overhead expenses.
Insurance Market Competition in Utah
SelectHealth, Blue Cross Blue Shield of Utah, and UnitedHealthcare maintain robust competition in the individual and group markets, leading to competitive negotiated rates with gastroenterology providers. This three-way competition helps keep EGD procedure costs reasonable compared to less competitive state markets.
Physician Supply and Demand in Utah
With 441 active providers offering EGD with biopsy services, Utah maintains adequate gastroenterology capacity relative to its population size. This sufficient provider supply helps moderate pricing and reduces wait times, though subspecialty services may still concentrate in urban areas along the Wasatch Front.
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 Utah
What is the average cost of a EGD with Biopsy visit in Utah without insurance?
Does Utah Medicaid cover EGD with Biopsy visits?
How do I find an affordable EGD with Biopsy near me in Utah?
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 Utah?
How does telemedicine affect the cost of seeing a EGD with Biopsy in Utah?
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 |