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Duct Scope Procedure With Destruction of a Growth

Nebraska 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?

$6,457

Typical facility fee. In Nebraska, July 2026.

Insurers have agreed to pay about $6,457 for this service. Most negotiated rates run $1,349 to $9,772.

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 $7,244 · 10th to 90th $692 to $14,454Professionalmedian $1,023 · 10th to 90th $832 to $1,349
$500$1K$2K$5K$10K$20Kfacility $7,244professional $1,023

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$8,511.38
Typical High
$14,454.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$10,000.00
Typical High
$19,498.45
Medica
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$691.83
Typical High
$5,623.41
Midlands
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,023.29
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$4,786.30
Typical High
$6,760.83

Where Nebraska 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.

Nebraska· 5th of 50

$6,457

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.