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Bile Duct Endoscopy With Biopsy (ERCP)

Illinois 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 $1,862 · 10th–90th $437$7,5860%5%10th90th$1,862Professionalmedian $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
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$1,698.24
Typical High
$7,762.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$5,248.07
Typical High
$6,760.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$4,570.88
Typical High
$10,000.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$602.56
Typical High
$1,949.84
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$3,388.44
Typical High
$7,585.78