go back

Bile or Pancreatic Duct Stent Exchange

Ohio 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?

$4,677

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $4,677 for this service. Most negotiated rates run $2,570 to $7,586.

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 $4,677 · 10th to 90th $1,622 to $10,715
$500$1K$2K$5K$10Kfacility $4,677

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
$4,677.35
Typical High
$10,715.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$3,981.07
Typical High
$16,982.44
CareSource
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$501.19
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$741.31
Typical High
$6,025.60
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$2,630.27
Typical High
$5,128.61
Medical Mutual of Ohio
Setting
Facility
Modifier
22 · Increased work
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$9,332.54
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$4,570.88
Typical High
$8,128.31

Where Ohio 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.

Ohio· 16th of 50

$4,677

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.