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Flexible Sigmoidoscopy With Polyp Removal (Snare)

South 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?

$637

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

Insurers have agreed to pay about $637 for this procedure. That total is two separate charges: $282 to the doctor who performs it, and $355 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$282$148 to $407
Facility feeThe hospital or surgery center$355$67.61 to $2,570

How much rates vary

Facilitymedian $355 · 10th to 90th $68 to $2,570Professionalmedian $282 · 10th to 90th $112 to $631
$100$200$500$1K$2Kfacility $355professional $282

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
$2,290.87
Typical High
$2,570.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$147.91
Typical High
$346.74
Avera
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$338.84
Typical High
$870.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$323.59
Typical High
$707.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$467.74
Typical High
$2,238.72
Midlands
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$295.12
Typical High
$645.65
Midlands
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$588.84
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$389.05
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$316.23
Typical High
$676.08
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$275.42
Typical High
$851.14

Where South 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

South Dakota· 46th of 50

$637

$282 physician + $355 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.