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Duct Scope Procedure With Destruction of a Growth

Texas 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?

$2,884

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $2,884 for this service. Most negotiated rates run $813 to $4,786.

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 $2,884 · 10th to 90th $457 to $8,511
$100$200$500$1K$2K$5K$10Kfacility $2,884

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
$794.33
Median
$3,467.37
Typical High
$12,022.64
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$4,897.79
Typical High
$9,120.11
Christus
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$2,511.89
Typical High
$6,760.83
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$11,220.18
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$524.81
Typical High
$977.24
Providence
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$524.81
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$3,311.31
Typical High
$7,413.10

Where Texas 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.

Texas· 26th of 50

$2,884

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.