go back

Virginia rates for HCPCS 0397T

Endoscopic retrograde cholangiopancreatography (ERCP), with optical endomicroscopy (List separately in addition to code for primary procedure)

Facilitymedian $513 · 10th–90th $102–$5,8880%5%10th90th$513Professionalmedian $182 · 10th–90th $51–$4900%10%10th90th$182$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $3,235.94 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $223.87 / $389.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $83.18 / $154.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $524.81 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $53.70 / $77.62
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $165.96 / $436.52
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $426.58 / $1,071.52
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $426.58 / $1,071.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $812.83 / $2,344.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $436.52 / $691.83