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Bile Duct Endoscopy With Biopsy (ERCP)

Colorado 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 $5,012 · 10th–90th $398$12,5890%5%10th90th$5,012Professionalmedian $427 · 10th–90th $295$1,5850%20%10th90th$427$500.0$1.0K$2.0K$5.0K$10.0K$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$3,311.31
Typical High
$7,585.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$9,549.93
Typical High
$15,135.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,096.48
Typical High
$2,187.76
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$467.74
Typical High
$741.31
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$426.58
Typical High
$1,584.89
Select Health
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$549.54
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,897.79
Typical High
$9,772.37