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Duct Scope Procedure With Destruction of a Growth

Connecticut 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?

$7,079

Typical facility fee. In Connecticut, July 2026.

Insurers have agreed to pay about $7,079 for this service. Most negotiated rates run $4,898 to $8,710.

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.

How much rates vary

Facilitymedian $7,079 · 10th to 90th $3,467 to $11,220
$1K$2K$5K$10Kfacility $7,079

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
$3,467.37
Median
$6,456.54
Typical High
$9,549.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$12,302.69
Typical High
$13,803.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$4,786.30
Typical High
$5,370.32
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$7,079.46
Typical High
$11,220.18

Where Connecticut 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.

Connecticut· 3rd of 50

$7,079

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.