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Bile Duct Exam With Biopsy Via Existing Drainage Tract

Ohio 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?

$5,125

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

Insurers have agreed to pay about $5,125 for this procedure. That total is two separate charges: $339 to the doctor who performs it, and $4,786 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$339$282 to $417
Facility feeThe hospital or surgery center$4,786$2,399 to $8,913

How much rates vary

Facilitymedian $4,786 · 10th to 90th $832 to $12,023Professionalmedian $339 · 10th to 90th $257 to $617
$50$200$1K$5Kfacility $4,786professional $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
$537.03
Median
$5,754.40
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$302.00
Typical High
$954.99
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,388.44
Typical High
$15,135.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$380.19
Typical High
$588.84
CareSource
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$295.12
Typical High
$3,981.07
CareSource
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$457.09
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$389.05
Typical High
$660.69
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$562.34
Typical High
$5,370.32
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$380.19
Typical High
$660.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$309.03
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$7,244.36
Typical High
$14,125.38
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$346.74
Typical High
$549.54

Where Ohio sits

The same service costs 22.3 times more in Wyoming 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.

Physician feeFacility fee

Ohio· 17th of 50

$5,125

$339 physician + $4,786 facility

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.