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Bile Duct Scope With Valve Pressure Measurement

New York 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.

Facilitymedian $4,571 · 10th–90th $646$11,2200%5%10th90th$4,571Professionalmedian $437 · 10th–90th $324$1,0960%10%10th90th$437$100.0$500.0$2.0K$10.0K$50.0K

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
$512.86
Median
$3,630.78
Typical High
$9,332.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$407.38
Typical High
$831.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,495.41
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$346.74
Typical High
$691.83
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,698.24
Typical High
$6,165.95
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$602.56
Typical High
$1,318.26
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$501.19
Typical High
$1,174.90
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$467.74
Typical High
$776.25
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$467.74
Typical High
$741.31
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$489.78
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,981.07
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$549.54
Typical High
$3,801.89
Univera
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$426.58
Typical High
$1,659.59
Univera
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$446.68
Typical High
$954.99