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Bile Duct Endoscopy With Biopsy (ERCP)

Ohio 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 $3,631 · 10th–90th $724$10,7150%10%10th90th$3,631$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$3,630.78
Typical High
$10,715.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,388.44
Typical High
$15,135.61
CareSource
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$354.81
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$524.81
Typical High
$2,691.53
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$562.34
Typical High
$2,691.53
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$3,388.44
Typical High
$7,762.47