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Placing a Stent in the Bile or Pancreas Duct

Pennsylvania 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?

$3,981

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $3,981 for this service. Most negotiated rates run $2,344 to $5,495.

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 11 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,981 · 10th to 90th $537 to $8,318
$100.0$1.0K$10.0Kfacility $3,981

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
$660.69
Median
$3,981.07
Typical High
$8,317.64
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$3,715.35
Typical High
$14,454.40
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$7,585.78
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$5,011.87
Typical High
$10,000.00
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$5,128.61
Typical High
$6,309.57
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$14,125.38
Typical High
$26,915.35
Highmark BCBS
Setting
Facility
Modifier
22 · Increased work
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Independence Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$14,454.40
Typical High
$18,620.87
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$3,981.07
Typical High
$9,549.93
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$134.90
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$3,311.31
Typical High
$17,782.79

Where Pennsylvania sits

The same service costs 18.2 times more in Indiana than in Hawaii. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $3,981 · 20th of 50
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.