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Duct Scope Procedure With Destruction of a Growth

Massachusetts 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?

$2,818

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $2,818 for this service. Most negotiated rates run $1,318 to $3,890.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,818 · 10th to 90th $447 to $5,623
$100$200$500$1K$2K$5K$10Kfacility $2,818

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
$1,778.28
Median
$3,311.31
Typical High
$4,897.79
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,089.30
Typical High
$9,120.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$741.31
Typical High
$3,630.78
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$537.03
Typical High
$3,311.31
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$3,801.89
Typical High
$9,772.37
Health New England
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$3,090.30
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,089.30
Typical High
$9,120.11
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$3,890.45
Typical High
$9,772.37

Where Massachusetts 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.

Massachusetts· 27th of 50

$2,818

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.