go back

Bile Duct Endoscopy With Biopsy (ERCP)

Washington 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 $891 · 10th–90th $457$12,0230%5%10%10th90th$891$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
$457.09
Median
$2,137.96
Typical High
$17,378.01
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$12,022.64
Typical High
$20,892.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$758.58
Typical High
$5,370.32
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$741.31
Typical High
$5,128.61
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$645.65
Typical High
$676.08
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$457.09
Typical High
$2,454.71
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$11,481.54
Typical High
$20,892.96
United
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$11,220.18
Typical High
$21,379.62