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Duct Scope Procedure With Destruction of a Growth

Iowa 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?

$3,388

Typical facility fee. In Iowa, July 2026.

Insurers have agreed to pay about $3,388 for this service. Most negotiated rates run $871 to $5,754.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,981 · 10th to 90th $646 to $9,550Professionalmedian $1,023 · 10th to 90th $407 to $1,738
$200$500$1K$2K$5K$10Kfacility $3,981professional $1,023

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
$933.25
Median
$4,897.79
Typical High
$7,943.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,230.27
Typical High
$1,949.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$977.24
Typical High
$9,332.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,023.29
Typical High
$1,737.80
Midlands
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
United
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$6,309.57
Typical High
$10,232.93

Where Iowa 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.

Iowa· 22nd of 50

$3,388

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.