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California rates for HCPCS 47538

Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter removal(s) when performed, and all associated radiological supervision and interpretation; existing access

Facilitymedian $4,898 · 10th–90th $1,514–$13,8040%10%10th90th$4,898Professionalmedian $3,090 · 10th–90th $200–$6,6070%10%20%10th90th$3,090$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
$2,884.03 / $7,413.10 / $19,498.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $4,466.84 / $13,489.63
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $5,754.40 / $11,748.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $4,786.30 / $7,762.47
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $4,168.69 / $6,165.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $2,691.53 / $6,606.93
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $23,988.33
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $3,090.30 / $6,760.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $13,182.57 / $28,840.32