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Duct Scope Procedure With Destruction of a Growth

Kentucky 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?

$2,344

Typical facility fee. In Kentucky, July 2026.

Insurers have agreed to pay about $2,344 for this service. Most negotiated rates run $1,413 to $3,548.

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 $2,344 · 10th to 90th $676 to $4,365
$500$1K$2K$5Kfacility $2,344

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
$524.81
Median
$851.14
Typical High
$8,511.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,398.83
Typical High
$4,365.16
CareSource
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$457.09
Typical High
$630.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$676.08
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$2,951.21
Typical High
$6,025.60

Where Kentucky 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.

Kentucky· 31st of 50

$2,344

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.