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Bile Duct Endoscopy With Biopsy (ERCP)

Idaho 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 $759 · 10th–90th $380$7,2440%5%10%10th90th$759$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
$1,202.26
Median
$4,466.84
Typical High
$7,244.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$3,467.37
Typical High
$9,332.54
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$512.86
Typical High
$933.25
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$7,762.47
Typical High
$12,589.25
Select Health
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$3,235.94
Typical High
$6,025.60
United
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$12,302.69
Typical High
$12,302.69