go back

Illinois rates for HCPCS 43261

Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple

Facilitymedian $2,512 · 10th–90th $513–$8,5110%5%10th90th$2,512Professionalmedian $603 · 10th–90th $355–$1,9500%10%10th90th$603$100.0$500.0$2.0K$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $1,905.46 / $8,511.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $5,248.07 / $6,760.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $4,570.88 / $10,000.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $602.56 / $1,949.84
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $3,467.37 / $7,585.78