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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.

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

$3,631

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $3,631 for this service. Most negotiated rates run $1,905 to $5,012.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,631 · 10th to 90th $724 to $10,715
$500$1K$2K$5K$10Kfacility $3,631

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where Ohio 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.

Ohio· 15th of 50

$3,631

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.