Cost of a EGD with Biopsy Visit
in Wyoming
Reviewed by Momentary Medical Group West PC
Wyoming's sparse population and vast distances create unique challenges for specialty healthcare access, with only 184 active EGD with Biopsy providers serving the entire state. Patients seeking an EGD with Biopsy typically face costs ranging from $172.80 to $1,150.89, with a median rate of $321.81 based on negotiated insurance rates. Despite Wyoming's rural nature, the state maintains sufficient provider availability for EGD with Biopsy services, allowing patients to browse all qualified providers throughout Wyoming's major medical centers.
Average
$549
Median
$322
Lowest
$173
Highest
$1,151
Providers
184
2% above national average
Compare Similar Procedures
How does upper endoscopy with biopsy compare to related procedures in Wyoming?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $158 | $375 | $1,057 | 184 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $217 | $442 | $1,313 | 185 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $332 | $553 | $1,540 | 178 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $161 | $288 | $864 | 176 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $28 | $80 | 194 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $94 | $219 | $604 | 184 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $51 | $143 | $331 | 184 |
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 Wyoming
Wyoming's healthcare costs run approximately 8% above the national average, driven by the state's challenging geography and low population density that makes specialty care delivery expensive. The Equality State's vast rural expanse means many patients travel significant distances for EGD with Biopsy procedures, concentrating demand in a few urban centers.
Urban vs. Rural Provider Availability
Most of Wyoming's 184 EGD with Biopsy providers practice in Cheyenne, Casper, and other population centers, leaving rural counties underserved and requiring patients to travel for specialty care. This geographic concentration allows urban providers to command higher rates while rural patients face additional costs for travel and lodging.
Facility Type and Overhead Costs
Hospital-owned outpatient clinics dominate Wyoming's gastroenterology landscape, with major health systems like Cheyenne Regional Medical Center and Wyoming Medical Center operating most specialty practices. These hospital affiliations typically result in higher facility fees compared to independent practices, but also provide better integration with surgical services if complications arise.
Insurance Market Competition in Wyoming
The limited presence of major insurers beyond BCBS Wyoming, UnitedHealthcare, and Cigna creates less competitive pressure on negotiated rates for specialty services. This concentrated market allows providers to maintain higher reimbursement rates, which ultimately translates to higher patient costs for EGD with Biopsy procedures.
Physician Supply and Demand in Wyoming
With 184 active EGD with Biopsy providers serving Wyoming's population of approximately 580,000, the state maintains adequate specialist availability despite its rural challenges. This reasonable provider-to-population ratio helps prevent severe supply shortages that could drive up costs, though wait times may be longer in rural areas requiring referrals to urban centers.
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 Wyoming
What is the average cost of a EGD with Biopsy visit in Wyoming without insurance?
Does Wyoming Medicaid cover EGD with Biopsy visits?
How do I find an affordable EGD with Biopsy near me in Wyoming?
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 Wyoming?
How does telemedicine affect the cost of seeing a EGD with Biopsy in Wyoming?
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 |