go back

Washington rates for HCPCS 0397T

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

Facilitymedian $4,571 · 10th–90th $89–$20,8930%5%10%10th90th$4,571Professionalmedian $257 · 10th–90th $48–$5010%10%10th90th$257$50.0$200.0$1.0K$5.0K$20.0K

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
$2,290.87 / $6,606.93 / $20,892.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $257.04 / $389.05
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $234.42 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $707.95 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $218.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $50.12 / $70.79
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $89.13 / $89.13
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $467.74 / $467.74
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $131.83 / $331.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $234.42 / $707.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $501.19 / $2,137.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $478.63 / $707.95
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74