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Duct Scope Procedure With Destruction of a Growth

Washington 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?

$1,122

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $1,122 for this service. Most negotiated rates run $794 to $6,457.

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 $1,122 · 10th to 90th $589 to $13,183
$500$1K$2K$5K$10K$20Kfacility $1,122

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
$588.84
Median
$1,737.80
Typical High
$18,620.87
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$12,022.64
Typical High
$20,892.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$707.95
Typical High
$5,370.32
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$954.99
Typical High
$5,248.07
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$831.76
Typical High
$851.14
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$588.84
Typical High
$2,454.71
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$11,481.54
Typical High
$20,892.96
United
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$11,220.18
Typical High
$21,379.62

Where Washington 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.

Washington· 39th of 50

$1,122

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.