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Flexible Sigmoidoscopy With Polyp Removal (Snare)

Massachusetts 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?

$1,526

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

Insurers have agreed to pay about $1,526 for this procedure. That total is two separate charges: $324 to the doctor who performs it, and $1,202 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$324$182 to $490
Facility feeThe hospital or surgery center$1,202$240 to $2,399

How much rates vary

Facilitymedian $1,202 · 10th to 90th $174 to $3,715Professionalmedian $324 · 10th to 90th $126 to $759
$100$200$500$1K$2K$5K$10Kfacility $1,202professional $324

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
$331.13
Median
$1,905.46
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$281.84
Typical High
$616.60
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$2,344.23
Typical High
$19,498.45
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$316.23
Typical High
$2,137.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$446.68
BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$436.52
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$501.19
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$295.12
Typical High
$676.08
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$158.49
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$467.74
Typical High
$707.95
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$3,162.28
Typical High
$8,511.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$346.74
Typical High
$831.76
Health New England
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$812.83
Typical High
$2,398.83
Health New England
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$489.78
Typical High
$489.78
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$2,344.23
Typical High
$19,498.45
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$316.23
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$2,398.83
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$331.13
Typical High
$891.25

Where Massachusetts 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

Massachusetts· 33rd of 50

$1,526

$324 physician + $1,202 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.