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Flexible Sigmoidoscopy With Polyp Removal (Snare)

North Dakota 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?

$577

Typical total for the visit. In North Dakota, July 2026.

Insurers have agreed to pay about $577 for this procedure. That total is two separate charges: $288 to the doctor who performs it, and $288 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$288$204 to $550
Facility feeThe hospital or surgery center$288$120 to $1,995

How much rates vary

Facilitymedian $288 · 10th to 90th $68 to $2,570Professionalmedian $288 · 10th to 90th $123 to $692
$100$200$500$1K$2K$5Kfacility $288professional $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
$67.61
Median
$288.40
Typical High
$2,570.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$275.42
Typical High
$575.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$338.84
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$316.23
Typical High
$812.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$288.40
Typical High
$676.08
Medica
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$457.09
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$2,398.83
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$269.15
Typical High
$630.96

Where North Dakota 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

North Dakota· 50th of 50

$577

$288 physician + $288 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.