go back

New York rates for HCPCS 43262

Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy

Facilitymedian $4,169 · 10th–90th $646–$10,9650%10%10th90th$4,169$0.2$2.0$20.0$200.0$2.0K$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $3,630.78 / $10,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $5,495.41 / $12,882.50
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $1,698.24 / $6,165.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $1,479.11 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$724.44 / $724.44 / $724.44
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $501.19 / $1,174.90
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $331.13
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $4,168.69 / $14,791.08
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $3,981.07 / $9,120.11
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $416.87 / $1,698.24