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Bile Duct Endoscopy With Biopsy (ERCP)

Virginia 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 $631 · 10th–90th $372$7,0790%5%10%10th90th$631Professionalmedian $398 · 10th–90th $288$6920%10%10th90th$398$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
$478.63
Median
$2,818.38
Typical High
$7,079.46
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$6,760.83
Typical High
$7,413.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$1,698.24
Typical High
$2,089.30
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$346.74
Typical High
$630.96
Medcost
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$501.19
Typical High
$776.25
Medcost
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$467.74
Typical High
$741.31
Sentara
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$436.52
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$5,754.40
Typical High
$13,182.57