Placing a Stent in the Bile or Pancreas Duct

Nationwide rates for HCPCS 43274

A flexible scope is passed through the mouth to where the bile and pancreas ducts drain into the small intestine, and a small tube called a stent is set inside a narrowed or blocked duct to hold it open. Dye and X-ray pictures guide the placement, and the duct opening may be widened first so the stent can pass. It relieves the jaundice, itching and pain a blockage causes.

Rates data updated July 2026.

How much does Placing a Stent in the Bile or Pancreas Duct cost?

$4,882

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $4,882 for this procedure. That total is two separate charges: $617 to the doctor who performs it, and $4,266 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

13% physician fee87% facility fee

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 61 insurance carriers under federal price transparency rules.

What's inside this number

Part of the bill	Who charges it	Typical	Range
Physician feeThe doctor who performs it	The doctor who performs it	$617	$447 to $977
Facility feeThe hospital or surgery center	The hospital or surgery center	$4,266	$1,479 to $7,413

How much rates vary

Facilitymedian $4,266 · 10th to 90th $575 to $11,749Professionalmedian $617 · 10th to 90th $407 to $1,905

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $630.96 Median $3,981.07 Typical High $10,471.29	Facility	Global	$630.96	$3,981.07	$10,471.29
BCBS Setting Facility Modifier Global Typical Low $2,398.83 Median $6,309.57 Typical High $14,125.38	Facility	Global	$2,398.83	$6,309.57	$14,125.38
Cigna Setting Facility Modifier Global Typical Low $575.44 Median $1,584.89 Typical High $6,760.83	Facility	Global	$575.44	$1,584.89	$6,760.83
Cigna Setting Facility Modifier 22 · Increased work Typical Low $851.14 Median $851.14 Typical High $851.14	Facility	22 · Increased work	$851.14	$851.14	$851.14
United Setting Facility Modifier Global Typical Low $1,047.13 Median $4,265.80 Typical High $11,220.18	Facility	Global	$1,047.13	$4,265.80	$11,220.18

What it costs in each state

The same service costs 6.2 times more in Wisconsin than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility fee

WI $9,083MD $1,457

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.