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Placing a Stent in the Bile or Pancreas Duct

Georgia 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?

$4,467

Typical facility fee. In Georgia, July 2026.

Insurers have agreed to pay about $4,467 for this service. Most negotiated rates run $2,188 to $6,166.

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 $4,571 · 10th to 90th $1,202 to $7,762Professionalmedian $537 · 10th to 90th $407 to $1,738
$500$1K$2K$5K$10K$20Kfacility $4,571professional $537

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
$1,621.81
Median
$5,128.61
Typical High
$7,585.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$3,630.78
Typical High
$9,549.93
CareSource
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$549.54
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,230.27
Typical High
$4,786.30
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$537.03
Typical High
$1,737.80
Kaiser Permanente
Setting
Professional
Modifier
22 · Increased work
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$3,235.94
Typical High
$6,309.57

Where Georgia sits

The same service costs 18.2 times more in Indiana than in Hawaii. 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.

Georgia· 14th of 50

$4,467

IN $9,550HI $525

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.