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Bile Duct Endoscopy With Biopsy (ERCP)

Alabama 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 $2,630 · 10th–90th $661$5,6230%5%10%10th90th$2,630$500.0$1.0K$2.0K$5.0K$10.0K

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
$281.84
Median
$1,096.48
Typical High
$5,754.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$4,168.69
Typical High
$5,623.41
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$2,884.03
Typical High
$4,897.79