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Open Biopsy of the Stomach

Georgia rates for HCPCS 43605

A sample of the stomach wall is taken for examination under a microscope through an incision in the abdomen. It is used when the area cannot be sampled adequately with a scope passed down through the mouth, or when the abdomen is already open for another reason. The stomach is closed again once the sample is taken.

Rates data updated July 2026.

How much does Open Biopsy of the Stomach cost?

$3,890

Typical facility fee. In Georgia, July 2026.

Insurers have agreed to pay about $3,890 for this service. Most negotiated rates run $1,479 to $5,623.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,169 · 10th to 90th $832 to $8,710Professionalmedian $1,072 · 10th to 90th $832 to $1,950
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $4,169professional $1,072

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$4,570.88
Typical High
$7,585.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$3,467.37
Typical High
$9,120.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$588.84
Typical High
$831.76
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,071.52
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$3,235.94
Typical High
$6,165.95

Where Georgia sits

The same service costs 16.2 times more in Maine than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Georgia $3,890 · 16th of 50
ME $13,183ND $813

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.