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Duct Scope Procedure With Destruction of a Growth

Ohio 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?

$4,169

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $4,169 for this service. Most negotiated rates run $2,344 to $7,586.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,169 · 10th to 90th $832 to $10,965
$500$1K$2K$5K$10Kfacility $4,169

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
$831.76
Median
$5,754.40
Typical High
$10,964.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,467.37
Typical High
$15,135.61
CareSource
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$457.09
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$676.08
Typical High
$3,162.28
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$724.44
Typical High
$3,162.28
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$3,388.44
Typical High
$7,762.47

Where Ohio 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.

Ohio· 15th of 50

$4,169

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.