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Placing a Stent in the Bile or Pancreas Duct

Virginia 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?

$1,072

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $1,072 for this service. Most negotiated rates run $589 to $4,898.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,175 · 10th to 90th $513 to $7,943Professionalmedian $479 · 10th to 90th $389 to $1,047
$500$1K$2K$5K$10Kfacility $1,175professional $479

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
$575.44
Median
$3,548.13
Typical High
$7,943.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$7,413.10
Typical High
$9,332.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$3,235.94
Typical High
$3,981.07
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$467.74
Typical High
$758.58
Medcost
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,047.13
Typical High
$1,047.13
Medcost
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$588.84
Typical High
$933.25
Sentara
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$602.56
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$5,754.40
Typical High
$13,182.57

Where Virginia 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.

Virginia· 43rd of 50

$1,072

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.