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Duct Endoscopy With Cell-Level Imaging

Virginia 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?

$302

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $479 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 7 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$166$83.18 to $389
FacilityA hospital or hospital-owned outpatient department$479$347 to $2,089

How much rates vary

Facilitymedian $479 · 10th to 90th $105 to $5,754Professionalmedian $166 · 10th to 90th $58 to $525
$50$200$1K$5Kfacility $479professional $166

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
$389.05
Median
$3,630.78
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$245.47
Typical High
$389.05
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$83.18
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$524.81
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$53.70
Typical High
$77.62
Medcost
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$165.96
Typical High
$436.52
Sentara
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$426.58
Typical High
$1,071.52
Sentara
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$426.58
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$776.25
Typical High
$2,398.83
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$436.52
Typical High
$691.83

Where Virginia 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.

Virginia· 29th of 51

$302

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.