go back

Bile Duct Exam With Biopsy Via Existing Drainage Tract

Pennsylvania 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?

$4,568

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

Insurers have agreed to pay about $4,568 for this procedure. That total is two separate charges: $302 to the doctor who performs it, and $4,266 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$302$275 to $355
Facility feeThe hospital or surgery center$4,266$2,630 to $6,761

How much rates vary

Facilitymedian $4,266 · 10th to 90th $955 to $8,318Professionalmedian $302 · 10th to 90th $257 to $525
$10.0$100.0$1.0K$10.0Kfacility $4,266professional $302

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
$954.99
Median
$4,786.30
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$288.40
Typical High
$446.68
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$7,585.78
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$288.40
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$2,290.87
Typical High
$8,709.64
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$363.08
Typical High
$616.60
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$354.81
Typical High
$501.19
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$5,011.87
Typical High
$6,025.60
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$346.74
Typical High
$512.86
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$3,890.45
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$323.59
Typical High
$1,513.56
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$446.68
Typical High
$660.69
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,778.28
Typical High
$3,311.31
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$275.42
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$5,495.41
Typical High
$19,054.61
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$331.13
Typical High
$562.34

Where Pennsylvania 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 feePennsylvania $4,568 · 20th 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.