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California rates for HCPCS 43260

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

Facilitymedian $5,888 · 10th–90th $1,202–$13,8040%5%10th90th$5,888Professionalmedian $316 · 10th–90th $263–$7940%20%10th90th$316$50.0$200.0$1.0K$5.0K$20.0K

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
$2,290.87 / $6,456.54 / $16,595.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $6,165.95 / $13,489.63
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $4,466.84 / $9,332.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $2,238.72 / $4,786.30
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $316.23 / $467.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $316.23 / $831.76
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $11,220.18 / $28,840.32
Lucent Health
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$8,912.51 / $8,912.51 / $8,912.51
Lucent Health
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $2,238.72
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $426.58 / $707.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $7,079.46 / $14,454.40