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Bile Duct Endoscopy With Biopsy (ERCP)

Pennsylvania 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 $3,388 · 10th–90th $537$8,5110%5%10%10th90th$3,388$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
$537.03
Median
$3,715.35
Typical High
$8,511.38
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,248.07
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$2,691.53
Typical High
$5,128.61
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,884.03
Typical High
$3,388.44
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$10,000.00
Typical High
$18,620.87
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$3,090.30
Typical High
$8,709.64
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,621.81
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$3,311.31
Typical High
$11,220.18