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Duct Scope Procedure With Destruction of a Growth

California rates for HCPCS 43278

A flexible scope is passed through the mouth into the small intestine to reach the openings of the bile and pancreatic ducts, and abnormal tissue or a growth within the duct system is destroyed using heat or a similar energy source. Any needed stretching of the duct and passage of a guide wire is included. Sedation or general anesthesia is used.

Rates data updated July 2026.

How much does Duct Scope Procedure With Destruction of a Growth 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 $8,318.

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 $427 · 10th to 90th $347 to $891
$100$500$2K$10Kfacility $5,888professional $427

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
$2,884.03
Median
$6,760.83
Typical High
$19,054.61
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$6,025.60
Typical High
$13,489.63
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$4,265.80
Typical High
$8,912.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$2,238.72
Typical High
$5,248.07
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$416.87
Typical High
$562.34
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$426.58
Typical High
$933.25
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$11,220.18
Providence
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$512.86
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$7,079.46
Typical High
$15,135.61

Where California sits

The same service costs 23.4 times more in Indiana than in West Virginia. 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 $10,000WV $427

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.