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Duct Endoscopy With Cell-Level Imaging

New York 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?

$324

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $4,266 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 9 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$200$162 to $347
FacilityA hospital or hospital-owned outpatient department$4,266$2,630 to $6,310

How much rates vary

Facilitymedian $4,266 · 10th to 90th $1,660 to $9,120Professionalmedian $200 · 10th to 90th $71 to $437
$50$200$1K$5Kfacility $4,266professional $200

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
$1,318.26
Median
$3,981.07
Typical High
$9,120.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$323.59
Typical High
$436.52
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$9,120.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$177.83
Typical High
$288.40
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$6,165.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$223.87
Typical High
$223.87
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$69.18
Typical High
$316.23
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,511.89
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$363.08
Typical High
$870.96
Univera
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$338.84
Univera
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$61.66
Typical High
$331.13

Where New York 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 York· 26th of 51

$324

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.