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Duct Endoscopy With Cell-Level Imaging

Ohio 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?

$257

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $3,162 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 8 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$240$166 to $363
FacilityA hospital or hospital-owned outpatient department$3,162$1,820 to $8,913

How much rates vary

Facilitymedian $3,162 · 10th to 90th $661 to $12,023Professionalmedian $240 · 10th to 90th $46 to $501
$50$200$1K$5Kfacility $3,162professional $240

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
$3,467.37
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$223.87
Typical High
$1,513.56
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$229.09
Typical High
$436.52
CareSource
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$691.83
Typical High
$45,708.82
CareSource
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$758.58
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$524.81
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$50.12
Typical High
$60.26
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$70.79
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$912.01
Typical High
$2,818.38
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$380.19
Typical High
$616.60

Where Ohio 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.

Ohio· 34th of 51

$257

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.