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Bile Duct Endoscopy With Biopsy (ERCP)

Nationwide rates for HCPCS 43261

An examination of the bile and pancreatic ducts in which a flexible scope is passed through the mouth and stomach to the point where those ducts drain into the small intestine. Dye is injected so the ducts show up on X-ray, and small pieces of tissue are taken from a narrowed or suspicious area for testing. Sedation or anesthesia is used, and the laboratory examination of the tissue is charged separately.

Rates data updated July 2026.

Facilitymedian $3,715 · 10th–90th $457$10,7150%10%10th90th$3,715Professionalmedian $447 · 10th–90th $295$1,5140%20%10th90th$447$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
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$3,235.94
Typical High
$9,549.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$5,888.44
Typical High
$13,803.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,023.29
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$3,890.45
Typical High
$9,772.37