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Bile Duct Endoscopy With Biopsy (ERCP)

South Dakota 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 $661 · 10th–90th $324$4,3650%5%10%10th90th$661Professionalmedian $550 · 10th–90th $427$7080%10%10th90th$550$500.0$1.0K$2.0K$5.0K

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
$338.84
Median
$3,090.30
Typical High
$4,365.16
Avera
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Medica
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$537.03
Typical High
$954.99
Midlands
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$794.33
Typical High
$794.33
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$537.03
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$7,943.28