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Bile Duct Endoscopy With Biopsy (ERCP)

Wisconsin 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 $6,761 · 10th–90th $457$11,4820%10%10th90th$6,761Professionalmedian $692 · 10th–90th $380$1,0720%10%20%10th90th$692$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
$371.54
Median
$3,090.30
Typical High
$14,454.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$7,943.28
Typical High
$13,182.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,000.00
Typical High
$1,621.81
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$3,715.35
Medica
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$549.54
Typical High
$8,317.64
Network Health
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$5,754.40
Typical High
$7,762.47
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$436.52
Typical High
$831.76
Quartz
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$691.83
Typical High
$1,071.52
Quartz
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$11,220.18
Typical High
$11,220.18
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$7,413.10
Typical High
$9,120.11