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Duct Endoscopy With Cell-Level Imaging

North Carolina rates for HCPCS 0397T

During an examination of the bile and pancreatic ducts with a flexible scope passed through the mouth, a fine probe magnifies the lining of the duct enough to see individual cells while the procedure is happening. This helps show whether a narrowing is harmless or cancerous, and it is billed in addition to the main scope examination.

Rates data updated July 2026.

How much does Duct Endoscopy With Cell-Level Imaging cost?

$347

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $355 from a physician practice, and about $229 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$355$75.86 to $603
FacilityA hospital or hospital-owned outpatient department$229$166 to $933

How much rates vary

Facilitymedian $229 · 10th to 90th $72 to $5,248Professionalmedian $355 · 10th to 90th $72 to $977
$50$100$200$500$1K$2K$5Kfacility $229professional $355

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
$165.96
Median
$4,265.80
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$165.96
Typical High
$407.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$407.38
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Medcost
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$165.96
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$512.86
Typical High
$1,513.56
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$371.54
Typical High
$630.96
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13

Where North Carolina sits

The same service costs 67.6 times more in California than in South Dakota. 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.

North Carolina· 10th of 51

$347

CA $3,548SD $52.48

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.