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Bile or Pancreatic Duct Stent Exchange

Rhode Island 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 October 2026.

How much does Bile or Pancreatic Duct Stent Exchange cost?

$3,530

Typical total for the visit. In Rhode Island, October 2026.

Insurers have agreed to pay about $3,530 for this procedure. That total is two separate charges: $646 to the doctor who performs it, and $2,884 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$646$575 to $776
Facility feeThe hospital or surgery center$2,884$1,413 to $5,012

How much rates vary

Facilitymedian $2,884 · 10th to 90th $871 to $6,918Professionalmedian $646 · 10th to 90th $479 to $776
$500$1K$2K$5K$10Kfacility $2,884professional $646

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,398.83
Median
$3,235.94
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$645.65
Typical High
$645.65
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$630.96
Typical High
$707.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$4,786.30
Typical High
$6,918.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$776.25
Typical High
$776.25
United
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$2,089.30
Typical High
$7,413.10
United
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$537.03
Typical High
$758.58

Where Rhode Island sits

The same service costs 5.9 times more in Alaska than in Montana. 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.

Physician feeFacility fee

Rhode Island· 31st of 51

$3,530

$646 physician + $2,884 facility

AK $8,723MT $1,483

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.