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Diagnostic Bile Duct Endoscopy (ERCP)

Oregon rates for HCPCS 43260

An examination of the bile and pancreatic ducts using a flexible scope passed through the mouth and stomach to the point where those ducts drain into the small intestine. Dye is injected into the ducts and X-ray pictures are taken to look for stones, narrowings or blockages, and cells can be collected by brushing or rinsing the duct lining. Sedation or anesthesia is used, and treatment carried out through the scope is charged separately.

Rates data updated July 2026.

How much does Diagnostic Bile Duct Endoscopy (ERCP) cost?

$617

Typical facility fee. In Oregon, July 2026.

Insurers have agreed to pay about $617 for this service. Most negotiated rates run $457 to $646.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $617 · 10th to 90th $324 to $1,023Professionalmedian $589 · 10th to 90th $447 to $708
$200$500$1K$2K$5K$10Kfacility $617professional $589

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
$794.33
Median
$6,025.60
Typical High
$8,709.64
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$323.59
Median
$398.11
Typical High
$398.11
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$128.82
Median
$158.49
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$3,235.94
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$588.84
Typical High
$707.95
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$467.74
Typical High
$758.58
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$616.60
Typical High
$645.65
Providence
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$478.63
Typical High
$794.33
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$12,589.25
Typical High
$15,135.61
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$9,120.11
Typical High
$12,022.64

Where Oregon sits

The same service costs 28.8 times more in Indiana than in North Dakota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Oregon· 40th of 50

$617

IN $9,333ND $324

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.