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Nationwide rates for HCPCS 43260

Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)

Facilitymedian $3,890 · 10th–90th $468$10,2330%10%20%10th90th$3,890Professionalmedian $427 · 10th–90th $282$1,3800%20%10th90th$427$0.5$5.0$50.0$500.0$5.0K$50.0K$500.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $3,630.78 / $9,549.93
Aetna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$1,174.90 / $5,011.87 / $5,011.87
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $5,888.44 / $13,803.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $1,148.15 / $3,630.78
Cigna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$436.52 / $436.52 / $436.52
Cigna
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$107.15 / $107.15 / $107.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $3,890.45 / $9,549.93