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Bile Duct Endoscopy With Biopsy (ERCP)

Michigan 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 $2,884 · 10th–90th $437$5,7540%10%20%10th90th$2,884$100.0$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
$436.52
Median
$2,884.03
Typical High
$4,897.79
BCBS
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$288.40
Typical High
$288.40
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$1,122.02
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$5,011.87
Typical High
$10,232.93