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Duct Endoscopy With Cell-Level Imaging

New Mexico 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?

$234

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $245 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 5 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$234$58.88 to $324
FacilityA hospital or hospital-owned outpatient department$245$66.07 to $759

How much rates vary

Facilitymedian $245 · 10th to 90th $52 to $2,089Professionalmedian $234 · 10th to 90th $46 to $437
$50$100$200$500$1K$2K$5Kfacility $245professional $234

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
$1,000.00
Median
$2,089.30
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$234.42
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$60.26
Typical High
$85.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$104.71
Typical High
$389.05
Providence
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$1,096.48
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$489.78
Typical High
$724.44

Where New Mexico 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.

New Mexico· 38th of 51

$234

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.