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Rigid Sigmoidoscopy With Lesion Destruction

New Jersey rates for HCPCS 45320

An exam of the lower part of the colon and rectum using a rigid scope, during which a growth or abnormal tissue that cannot be simply removed with grasping tools or a wire loop is instead destroyed in place using heat or another ablation method. It combines diagnostic viewing of the lower bowel with treatment of the lesion at the same visit. It differs from simpler versions of the exam that only remove tissue for a biopsy or take out a polyp that can be captured and removed intact.

Rates data updated July 2026.

How much does Rigid Sigmoidoscopy With Lesion Destruction cost?

$204

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $5,495 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 5 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$195$112 to $257
FacilityA hospital or hospital-owned outpatient department$5,495$4,169 to $7,762

How much rates vary

Facilitymedian $5,495 · 10th to 90th $1,148 to $10,715Professionalmedian $195 · 10th to 90th $95 to $427
$100$200$500$1K$2K$5K$10Kfacility $5,495professional $195

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
$407.38
Median
$5,495.41
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$186.21
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$208.93
Typical High
$467.74
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$338.84
Typical High
$512.86
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$8,912.51
Typical High
$13,803.84
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$199.53
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$5,754.40
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$181.97
Typical High
$389.05

Where New Jersey sits

The same service costs 2.1 times more in Minnesota than in West Virginia. 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.

New Jersey· 40th of 51

$204

MN $331WV $158

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.