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Flexible Sigmoidoscopy With Polyp Removal (Snare)

Missouri 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?

$1,802

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

Insurers have agreed to pay about $1,802 for this procedure. That total is two separate charges: $288 to the doctor who performs it, and $1,514 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$288$151 to $407
Facility feeThe hospital or surgery center$1,514$692 to $2,399

How much rates vary

Facilitymedian $1,514 · 10th to 90th $209 to $3,981Professionalmedian $288 · 10th to 90th $123 to $724
$100$200$500$1K$2K$5K$10Kfacility $1,514professional $288

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
$204.17
Median
$2,137.96
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$295.12
Typical High
$794.33
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$223.87
Typical High
$436.52
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,479.11
Typical High
$3,235.94
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$263.03
Typical High
$457.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$323.59
Typical High
$478.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$2,511.89
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$263.03
Typical High
$512.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$309.03
Typical High
$1,380.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$512.86
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,380.38
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$257.04
Typical High
$501.19

Where Missouri 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

Missouri· 28th of 50

$1,802

$288 physician + $1,514 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.