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Bile Duct Endoscopy With Biopsy (ERCP)

California 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 $5,754 · 10th–90th $955$13,8040%5%10th90th$5,754Professionalmedian $339 · 10th–90th $275$6760%20%10th90th$339$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
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$6,456.54
Typical High
$18,197.01
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$6,025.60
Typical High
$13,489.63
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$4,265.80
Typical High
$8,912.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$1,023.29
Typical High
$3,548.13
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$338.84
Typical High
$512.86
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$338.84
Typical High
$676.08
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$28,840.32
Providence
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$446.68
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$7,079.46
Typical High
$15,135.61