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Flexible Sigmoidoscopy With Polyp Removal (Snare)

Iowa rates for HCPCS 45338

During a flexible sigmoidoscopy, examining the lower part of the colon and rectum, a wire loop (snare) is passed through the scope and used to encircle and remove a polyp or other growth from the lining. The tissue is then sent to a lab to check whether it's benign or precancerous.

Rates data updated July 2026.

How much does Flexible Sigmoidoscopy With Polyp Removal (Snare) cost?

$1,887

Typical total for the visit. In Iowa, July 2026.

Insurers have agreed to pay about $1,887 for this procedure. That total is two separate charges: $302 to the doctor who performs it, and $1,585 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$302$191 to $550
Facility feeThe hospital or surgery center$1,585$363 to $3,236

How much rates vary

Facilitymedian $1,585 · 10th to 90th $200 to $6,026Professionalmedian $302 · 10th to 90th $123 to $741
$100$200$500$1K$2K$5K$10Kfacility $1,585professional $302

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
$234.42
Median
$2,290.87
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$288.40
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$338.84
Typical High
$870.96
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$467.74
Typical High
$870.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$426.58
Typical High
$2,951.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$562.34
Typical High
$2,238.72
Midlands
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$630.96
Typical High
$776.25
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$524.81
Typical High
$831.76
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$269.15
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$3,090.30
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$309.03
Typical High
$707.95
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$275.42
Typical High
$831.76

Where Iowa sits

The same service costs 8.9 times more in Indiana than in North 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.

Physician feeFacility fee

Iowa· 26th of 50

$1,887

$302 physician + $1,585 facility

IN $5,143ND $577

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.