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Bile Duct Endoscopy With Biopsy (ERCP)

Tennessee 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 $2,455 · 10th–90th $457$6,7610%10%10th90th$2,455$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$363.08
Median
$1,819.70
Typical High
$4,073.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,981.07
Typical High
$5,888.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$2,187.76
Typical High
$4,073.80
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$28,840.32
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$3,311.31
Typical High
$6,025.60