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Duct Scope Procedure With Destruction of a Growth

Oregon 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?

$832

Typical facility fee. In Oregon, July 2026.

Insurers have agreed to pay about $832 for this service. Most negotiated rates run $589 to $851.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $832 · 10th to 90th $427 to $2,344Professionalmedian $794 · 10th to 90th $603 to $955
$200$500$1K$2K$5K$10Kfacility $832professional $794

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
$870.96
Median
$7,943.28
Typical High
$17,378.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$4,365.16
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$794.33
Typical High
$954.99
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$549.54
Typical High
$1,023.29
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$831.76
Typical High
$851.14
Providence
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$588.84
Typical High
$1,071.52
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$12,589.25
Typical High
$15,135.61
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$9,120.11
Typical High
$12,022.64

Where Oregon 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.

Oregon· 40th of 50

$832

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.