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Bile Duct Exam With Biopsy Via Existing Drainage Tract

Kentucky rates for HCPCS 47553

Using a thin scope passed through an existing drainage tract in the abdomen, a doctor examines the bile ducts, the channels that carry bile from the liver to the intestine, and takes a tissue sample for testing. This approach works through a tract that is already in place from a prior drainage procedure, rather than requiring a new access point. It helps identify the cause of a bile duct blockage or abnormality.

Rates data updated July 2026.

How much does Bile Duct Exam With Biopsy Via Existing Drainage Tract cost?

$3,650

Typical total for the visit. In Kentucky, July 2026.

Insurers have agreed to pay about $3,650 for this procedure. That total is two separate charges: $339 to the doctor who performs it, and $3,311 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$339$275 to $380
Facility feeThe hospital or surgery center$3,311$1,950 to $6,761

How much rates vary

Facilitymedian $3,311 · 10th to 90th $617 to $8,511Professionalmedian $339 · 10th to 90th $269 to $513
$50.0$200.0$1.0K$5.0Kfacility $3,311professional $339

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
$346.74
Median
$851.14
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$281.84
Typical High
$416.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$3,630.78
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$346.74
Typical High
$512.86
CareSource
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$302.00
Typical High
$416.87
CareSource
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$323.59
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$457.09
Typical High
$2,137.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$5,011.87
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$389.05
Typical High
$575.44

Where Kentucky sits

The same service costs 22.3 times more in Wyoming than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeKentucky $3,650 · 28th of 50
WY $13,619WV $611

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.