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Bile Duct Endoscopy With Biopsy (ERCP)

Massachusetts 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 $2,818 · 10th–90th $380$5,6230%5%10%10th90th$2,818$100.0$500.0$2.0K$10.0K$50.0K

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
$1,513.56
Median
$2,884.03
Typical High
$4,786.30
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$3,981.07
Typical High
$28,840.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$645.65
Typical High
$4,168.69
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$426.58
Typical High
$3,311.31
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$3,801.89
Typical High
$9,772.37
Health New England
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$3,090.30
Typical High
$3,890.45
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$3,981.07
Typical High
$28,840.32
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$3,890.45
Typical High
$9,772.37