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Bile or Pancreatic Duct Stent Exchange

California rates for HCPCS 43276

During an examination in which a scope is passed through the mouth to where the bile and pancreatic ducts drain into the intestine, an existing stent — a small tube holding the duct open — is taken out and a new one is put in its place. The duct may be stretched open before and after, with a guide wire used to hold the path. It is done when a stent has clogged, slipped, or simply reached the end of its useful life.

Rates data updated July 2026.

How much does Bile or Pancreatic Duct Stent Exchange cost?

$5,495

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $5,495 for this service. Most negotiated rates run $3,548 to $8,511.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,888 · 10th to 90th $1,202 to $13,804Professionalmedian $468 · 10th to 90th $389 to $1,259
$100$500$2K$10Kfacility $5,888professional $468

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
$2,454.71
Median
$6,760.83
Typical High
$18,197.01
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$6,165.95
Typical High
$13,489.63
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$4,365.16
Typical High
$9,549.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$4,168.69
Typical High
$6,760.83
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$467.74
Typical High
$630.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$478.63
Typical High
$1,380.38
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$20,892.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$575.44
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$7,244.36
Typical High
$15,135.61

Where California sits

The same service costs 22.4 times more in Indiana 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.

California· 9th of 50

$5,495

IN $10,965ND $490

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.