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Bile Duct Endoscopy With Biopsy (ERCP)

Connecticut 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 $5,248 · 10th–90th $2,818$10,9650%10%10th90th$5,248$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
$2,754.23
Median
$4,897.79
Typical High
$8,511.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$11,748.98
Typical High
$13,803.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$3,801.89
Typical High
$5,370.32
ConnectiCare
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$6,918.31
Typical High
$11,220.18