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Bile or Pancreatic Duct Stent Exchange

Georgia 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?

$4,898

Typical facility fee. In Georgia, July 2026.

Insurers have agreed to pay about $4,898 for this service. Most negotiated rates run $2,188 to $6,457.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,129 · 10th to 90th $1,202 to $10,000Professionalmedian $562 · 10th to 90th $427 to $1,820
$500$1K$2K$5K$10K$20Kfacility $5,129professional $562

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
$2,041.74
Median
$5,495.41
Typical High
$17,378.01
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$3,630.78
Typical High
$9,549.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,659.59
Typical High
$4,786.30
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$562.34
Typical High
$1,819.70
Kaiser Permanente
Setting
Professional
Modifier
22 · Increased work
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,659.59
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 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.

Georgia· 12th of 50

$4,898

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.