go back

North Carolina rates for HCPCS 43278

Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s), including pre- and post-dilation and guide wire passage, when performed

Facilitymedian $692 · 10th–90th $427–$8,1280%10%20%10th90th$692$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $2,238.72 / $8,709.64
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,905.46 / $2,137.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $1,905.46 / $3,630.78
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $512.86 / $851.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $4,897.79 / $10,232.93
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $11,220.18 / $11,220.18