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Bile Duct Exam With Biopsy Via Existing Drainage Tract

South Dakota 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?

$1,019

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $1,019 for this procedure. That total is two separate charges: $457 to the doctor who performs it, and $562 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$457$331 to $617
Facility feeThe hospital or surgery center$562$363 to $3,548

How much rates vary

Facilitymedian $562 · 10th to 90th $269 to $4,365Professionalmedian $457 · 10th to 90th $251 to $776
$200$500$1K$2K$5K$10Kfacility $562professional $457

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
$281.84
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$251.19
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$616.60
Typical High
$776.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$478.63
Typical High
$851.14
Medica
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$467.74
Typical High
$2,089.30
Midlands
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$676.08
Typical High
$724.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$457.09
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$758.58
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$645.65
Typical High
$645.65

Where South Dakota 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

South Dakota· 44th of 50

$1,019

$457 physician + $562 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.