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Bile Duct Endoscopy With Biopsy (ERCP)

Indiana 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 $7,943 · 10th–90th $832$17,7830%5%10%10th90th$7,943$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$478.63
Median
$4,897.79
Typical High
$7,244.36
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$11,481.54
Typical High
$18,620.87
CareSource
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$331.13
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$549.54
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$5,370.32
Typical High
$10,715.19