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Bile Duct Endoscopy With Biopsy (ERCP)

Nebraska 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 $4,365 · 10th–90th $537$13,4900%5%10%10th90th$4,365Professionalmedian $794 · 10th–90th $646$1,0470%20%40%10th90th$794$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$4,466.84
Typical High
$13,489.63
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$6,918.31
Typical High
$13,489.63
Medica
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$562.34
Typical High
$5,623.41
Midlands
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$794.33
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$4,786.30
Typical High
$6,760.83