Yes, kilobuck iems sound a lot better than $200 iems, surprise surprise. Differences include quality of drivers, crossover, electrical components, acoustic engineering, R&D costs. Equally as important are build materials and Quality Control! For instance Symphonium Audio (and other true hifi brands) iems are made in metal, hand-assembled and individually measured and matched before shipping. That is another universe compared to the moondrops and truthears of the world, and is part of what you pay for with good reason.
The returns do grow smaller as you go higher, but you can always get better for more money, but more money does not always equal better. That is without taking preferences, subjective qualities and user hearing capabilities into consideration.
The biggest jump I’ve experienced so far was going from $200 iems to sub-kilo buck Andromedas.
Foam tips are probably your best bet for isolation and secure fit.