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Duct Scope Procedure With Destruction of a Growth

Colorado 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?

$5,623

Typical facility fee. In Colorado, July 2026.

Insurers have agreed to pay about $5,623 for this service. Most negotiated rates run $2,042 to $9,550.

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 $5,623 · 10th to 90th $501 to $12,882Professionalmedian $537 · 10th to 90th $380 to $1,820
$500$1K$2K$5K$10K$20Kfacility $5,623professional $537

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,715.35
Typical High
$7,585.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$9,549.93
Typical High
$15,135.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$891.25
Typical High
$6,760.83
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$537.03
Typical High
$870.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$537.03
Typical High
$1,819.70
Select Health
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$707.95
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,897.79
Typical High
$9,772.37

Where Colorado 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.

Colorado· 8th of 50

$5,623

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.