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Bile or Pancreatic Duct Stent Exchange

Virginia 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?

$871

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $871 for this service. Most negotiated rates run $589 to $5,012.

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 $912 · 10th to 90th $513 to $7,943Professionalmedian $501 · 10th to 90th $407 to $1,096
$500$1K$2K$5K$10Kfacility $912professional $501

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
$549.54
Median
$3,630.78
Typical High
$8,317.64
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
$407.38
Median
$489.78
Typical High
$794.33
Medcost
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,096.48
Typical High
$1,096.48
Medcost
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$616.60
Typical High
$977.24
Sentara
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$630.96
Typical High
$2,089.30
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 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.

Virginia· 43rd of 50

$871

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.