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Bile Duct Endoscopy With Biopsy (ERCP)

Utah 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 $3,715 · 10th–90th $501$6,0260%10%10th90th$3,715Professionalmedian $479 · 10th–90th $288$7760%10%20%10th90th$479$200.0$500.0$1.0K$2.0K$5.0K$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
$501.19
Median
$3,388.44
Typical High
$4,897.79
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$7,413.10
Typical High
$11,481.54
Select Health
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$478.63
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,466.84
Typical High
$7,079.46