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Bile Duct Exam With Biopsy Via Existing Drainage Tract

North Carolina 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?

$866

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $866 for this procedure. That total is two separate charges: $398 to the doctor who performs it, and $468 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$398$339 to $741
Facility feeThe hospital or surgery center$468$324 to $1,047

How much rates vary

Facilitymedian $468 · 10th to 90th $269 to $7,586Professionalmedian $398 · 10th to 90th $282 to $891
$1.0$10.0$100.0$1.0K$10.0Kfacility $468professional $398

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
$269.15
Median
$1,380.38
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$309.03
Typical High
$645.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$457.09
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$3,235.94
Typical High
$5,754.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$457.09
Typical High
$741.31
Medcost
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Medcost
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$389.05
Typical High
$616.60
Medcost
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$691.83
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$8,709.64
Typical High
$23,442.29
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$338.84
Typical High
$588.84
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$19,054.61
Typical High
$45,708.82
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,290.87

Where North Carolina 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 feeNorth Carolina $866 · 46th 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.