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Bile Duct Endoscopy With Biopsy (ERCP)

Florida 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 $4,898 · 10th–90th $741$12,8820%10%10th90th$4,898$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$691.83
Median
$3,548.13
Typical High
$10,964.78
AvMed
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$3,981.07
Typical High
$11,220.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,318.26
Typical High
$2,187.76
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$12,022.64
Typical High
$23,442.29
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$5,248.07
Typical High
$9,772.37