go back

Bile Duct Endoscopy With Biopsy (ERCP)

Iowa 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 $3,236 · 10th–90th $562$8,5110%5%10%10th90th$3,236Professionalmedian $794 · 10th–90th $316$1,4790%10%10th90th$794$200.0$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
$660.69
Median
$3,630.78
Typical High
$7,943.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$794.33
Typical High
$1,513.56
Medica
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$776.25
Typical High
$9,332.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$794.33
Typical High
$912.01
Midlands
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$6,309.57
Typical High
$10,232.93