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Flexible Sigmoidoscopy With Polyp Removal (Snare)

Maryland 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?

$590

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

Insurers have agreed to pay about $590 for this procedure. That total is two separate charges: $251 to the doctor who performs it, and $339 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$251$138 to $355
Facility feeThe hospital or surgery center$339$132 to $912

How much rates vary

Facilitymedian $339 · 10th to 90th $63 to $2,042Professionalmedian $251 · 10th to 90th $117 to $550
$1$10$100$1Kfacility $339professional $251

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
$63.10
Median
$338.84
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$281.84
Typical High
$630.96
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$128.82
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$660.69
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$257.04
Typical High
$489.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$389.05
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$524.81
Typical High
$1,288.25
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$251.19
Typical High
$501.19
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$354.81
Typical High
$512.86

Where Maryland 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

Maryland· 49th of 50

$590

$251 physician + $339 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.