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Bile Duct Scope With Valve Pressure Measurement

Indiana rates for HCPCS 43263

A flexible camera is passed through the mouth down to the point where the bile and pancreatic ducts drain into the small intestine, and a fine tube measures the pressure inside the muscular valve controlling that opening. Abnormally high pressure in this valve can cause pain that mimics gallbladder or pancreas disease. The measurement helps decide whether treatment directed at the valve is likely to help.

Rates data updated July 2026.

How much does Bile Duct Scope With Valve Pressure Measurement cost?

$447

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $447 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $9,333 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$407$347 to $501
FacilityA hospital or hospital-owned outpatient department$9,333$4,898 to $15,136

How much rates vary

Facilitymedian $9,333 · 10th to 90th $1,047 to $17,783Professionalmedian $407 · 10th to 90th $331 to $661
$500$1K$2K$5K$10K$20Kfacility $9,333professional $407

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$4,897.79
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$371.54
Typical High
$575.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$11,481.54
Typical High
$18,620.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$501.19
Typical High
$776.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$354.81
Typical High
$398.11
CareSource
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$575.44
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$489.78
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$5,370.32
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$426.58
Typical High
$676.08

Where Indiana sits

The same service costs 3.1 times more in California than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Indiana· 29th of 51

$447

CA $1,202DE $389

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.