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Bile Duct Endoscopy With Biopsy (ERCP)

Maryland 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 $955 · 10th–90th $170$10,0000%10%10th90th$955Professionalmedian $339 · 10th–90th $257$5010%10%20%10th90th$339$200.0$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
$169.82
Median
$371.54
Typical High
$10,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,995.26
Typical High
$2,511.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$338.84
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,096.48
Typical High
$2,454.71