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Bile Duct Exam With Biopsy Via Existing Drainage Tract

Massachusetts 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?

$3,437

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

Insurers have agreed to pay about $3,437 for this procedure. That total is two separate charges: $347 to the doctor who performs it, and $3,090 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$347$288 to $562
Facility feeThe hospital or surgery center$3,090$1,778 to $4,571

How much rates vary

Facilitymedian $3,090 · 10th to 90th $309 to $7,762Professionalmedian $347 · 10th to 90th $269 to $794
$100.0$1.0K$10.0Kfacility $3,090professional $347

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
$1,778.28
Median
$3,311.31
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$302.00
Typical High
$707.95
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$6,165.95
Typical High
$45,708.82
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$467.74
Typical High
$2,137.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$2,187.76
Typical High
$2,187.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$741.31
Typical High
$6,025.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$407.38
Typical High
$741.31
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$354.81
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$331.13
Typical High
$524.81
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$5,888.44
Typical High
$15,488.17
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$457.09
Typical High
$707.95
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$6,165.95
Typical High
$45,708.82
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$467.74
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$6,025.60
Typical High
$16,595.87
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$489.78
Typical High
$831.76

Where Massachusetts 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 feeMassachusetts $3,437 · 29th 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.