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Duct Scope Procedure With Destruction of a Growth

Indiana 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?

$10,000

Typical facility fee. In Indiana, July 2026.

Insurers have agreed to pay about $10,000 for this service. Most negotiated rates run $4,898 to $15,136.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $10,000 · 10th to 90th $1,096 to $17,783
$500$1K$2K$5K$10K$20Kfacility $10,000

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
$467.74
Median
$4,897.79
Typical High
$11,220.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$12,022.64
Typical High
$18,620.87
CareSource
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$426.58
Typical High
$478.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$676.08
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$5,623.41
Typical High
$10,715.19

Where Indiana 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.

Indiana· 1st of 50

$10,000

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.