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Bile Duct Endoscopy With Biopsy (ERCP)

Arizona 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 $2,884 · 10th–90th $398$6,6070%5%10%10th90th$2,884$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
$1,698.24
Median
$3,235.94
Typical High
$6,760.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$2,290.87
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$2,089.30
Typical High
$3,467.37
Medica
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$426.58
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$3,311.31
Typical High
$5,370.32