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Upper Endoscopy With Bile Duct Stone Breakup

Nevada 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?

$2,138

Typical facility fee. In Nevada, July 2026.

Insurers have agreed to pay about $2,138 for this service. Most negotiated rates run $479 to $3,981.

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 $2,239 · 10th to 90th $447 to $8,128Professionalmedian $457 · 10th to 90th $9 to $676
$10$100$1K$10Kfacility $2,239professional $457

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
$446.68
Median
$2,238.72
Typical High
$4,786.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$8,128.31
Typical High
$8,128.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$3,981.07
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$457.09
Typical High
$676.08
Hometown Health
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
Select Health
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$331.13
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$2,344.23
Typical High
$7,413.10

Where Nevada 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.

Nevada· 31st of 50

$2,138

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.