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Bile Duct Endoscopy With Biopsy (ERCP)

Montana 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 $575 · 10th–90th $417$1,0000%20%40%10th90th$575$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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$588.84
Typical High
$707.95
Providence
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$512.86
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$7,943.28