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Duct Scope Procedure With Destruction of a Growth

New Mexico 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?

$1,175

Typical facility fee. In New Mexico, July 2026.

Insurers have agreed to pay about $1,175 for this service. Most negotiated rates run $550 to $8,318.

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 $1,175 · 10th to 90th $447 to $13,490
$500$1K$2K$5K$10K$20K$50Kfacility $1,175

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
$588.84
Median
$2,089.30
Typical High
$8,709.64
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$9,772.37
Typical High
$16,218.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Providence
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$549.54
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$6,918.31
Typical High
$9,772.37

Where New Mexico 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.

New Mexico· 38th of 50

$1,175

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.