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Bile Duct Endoscopy With Biopsy (ERCP)

South Carolina 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 $1,202 · 10th–90th $398$10,0000%5%10%10th90th$1,202Professionalmedian $501 · 10th–90th $468$5890%20%10th90th$501$200.0$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$7,585.78
Typical High
$21,877.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$3,019.95
Typical High
$8,912.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$575.44
Typical High
$2,454.71
Medcost
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$501.19
Typical High
$588.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$478.63
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$10,232.93
Typical High
$16,595.87