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Bile Duct Endoscopy With Biopsy (ERCP)

Texas 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 $389$8,3180%5%10th90th$2,455$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$2,754.23
Typical High
$8,317.64
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$4,786.30
Typical High
$9,332.54
Baylor Scott & White
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$3,715.35
Typical High
$7,585.78
Christus
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$4,677.35
Typical High
$4,677.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$2,187.76
Typical High
$2,818.38
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$28,840.32
Typical High
$28,840.32
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$446.68
Typical High
$794.33
Providence
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$3,311.31
Typical High
$7,413.10