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Duct Scope Procedure With Destruction of a Growth

Virginia 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?

$813

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $813 for this service. Most negotiated rates run $525 to $4,898.

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 $813 · 10th to 90th $457 to $7,943Professionalmedian $447 · 10th to 90th $363 to $977
$200$500$1K$2K$5K$10Kfacility $813professional $447

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
$741.31
Median
$4,168.69
Typical High
$8,912.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$6,760.83
Typical High
$7,413.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,698.24
Typical High
$2,089.30
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$436.52
Typical High
$724.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$977.24
Typical High
$977.24
Medcost
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$549.54
Typical High
$870.96
Sentara
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$575.44
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$5,754.40
Typical High
$13,182.57

Where Virginia 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.

Virginia· 41st of 50

$813

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.