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Duct Scope Procedure With Destruction of a Growth

Utah 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?

$1,288

Typical facility fee. In Utah, July 2026.

Insurers have agreed to pay about $1,288 for this service. Most negotiated rates run $617 to $5,495.

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 $4,571 · 10th to 90th $631 to $8,913Professionalmedian $617 · 10th to 90th $372 to $1,288
$500$1K$2K$5K$10Kfacility $4,571professional $617

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
$630.96
Median
$4,570.88
Typical High
$8,511.38
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$7,413.10
Typical High
$11,481.54
Select Health
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$616.60
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,466.84
Typical High
$7,079.46

Where Utah 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.

Utah· 36th of 50

$1,288

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.