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Bile Duct Endoscopy With Biopsy (ERCP)

Oregon 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 $646 · 10th–90th $339$1,0000%20%10th90th$646Professionalmedian $617 · 10th–90th $479$7410%20%40%10th90th$617$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
$741.31
Median
$6,025.60
Typical High
$8,709.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$3,235.94
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$616.60
Typical High
$741.31
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$489.78
Typical High
$794.33
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$645.65
Typical High
$676.08
Providence
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$512.86
Typical High
$831.76
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$12,589.25
Typical High
$15,135.61
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$9,120.11
Typical High
$12,022.64