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Bile Duct Endoscopy With Biopsy (ERCP)

North Carolina 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.

How much does Bile Duct Endoscopy With Biopsy (ERCP) cost?

$575

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $575 for this service. Most negotiated rates run $398 to $1,514.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $575 · 10th to 90th $331 to $5,248Professionalmedian $589 · 10th to 90th $589 to $589
$500$1K$2K$5K$10Kfacility $575professional $589

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$1,513.56
Typical High
$6,760.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,819.70
Typical High
$3,162.28
Medcost
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$446.68
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,265.80
Typical High
$10,232.93
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$28,840.32

Where North Carolina sits

The same service costs 23.4 times more in Wyoming than in North Dakota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Carolina· 43rd of 50

$575

WY $7,943ND $339

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.