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Upper Endoscopy With Bile Duct Stone Breakup

Minnesota rates for HCPCS 43265

A flexible scope is passed through the mouth to the opening of the bile and pancreatic ducts, and a stone that is too large or too wedged to pull out whole is broken into pieces first. The fragments are then removed or allowed to pass. Dye and X-ray pictures are used to find the stone and confirm the duct is clear.

Rates data updated July 2026.

How much does Upper Endoscopy With Bile Duct Stone Breakup cost?

$1,698

Typical facility fee. In Minnesota, July 2026.

Insurers have agreed to pay about $1,698 for this service. Most negotiated rates run $1,175 to $4,074.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,698 · 10th to 90th $537 to $17,378
$500$1K$2K$5K$10K$20Kfacility $1,698

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
$398.11
Median
$398.11
Typical High
$870.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$10,964.78
Typical High
$26,915.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,479.11
Typical High
$4,073.80
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,479.11
Typical High
$3,235.94
Medica
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$758.58
Typical High
$2,754.23
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$5,011.87
Typical High
$15,848.93

Where Minnesota sits

The same service costs 72.4 times more in West Virginia than in North Dakota. 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.

Minnesota· 35th of 50

$1,698

WV $31,623ND $437

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.