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Duct Scope Procedure With Destruction of a Growth

North Carolina 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?

$646

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $646 for this service. Most negotiated rates run $457 to $1,660.

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 $646 · 10th to 90th $427 to $6,918
$500$1K$2K$5K$10Kfacility $646

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
$426.58
Median
$1,698.24
Typical High
$8,709.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,905.46
Typical High
$3,630.78
Medcost
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$512.86
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$4,265.80
Typical High
$10,232.93
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$11,220.18
Typical High
$11,220.18

Where North Carolina 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.

North Carolina· 44th of 50

$646

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.