go back

Pennsylvania rates for HCPCS 43261

Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple

Facilitymedian $3,981 · 10th–90th $933–$9,5500%5%10%10th90th$3,981$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $4,073.80 / $9,549.93
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,248.07 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $2,691.53 / $5,128.61
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $660.69
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,754.23 / $3,388.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $7,585.78 / $10,715.19
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $2,570.40 / $8,511.38
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $467.74
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $416.87 / $457.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $3,311.31 / $12,302.69