go back

Flexible Sigmoidoscopy With Polyp Removal (Snare)

Virginia 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?

$629

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

Insurers have agreed to pay about $629 for this procedure. That total is two separate charges: $282 to the doctor who performs it, and $347 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$141 to $363
Facility feeThe hospital or surgery center$347$170 to $1,514

How much rates vary

Facilitymedian $347 · 10th to 90th $138 to $4,677Professionalmedian $282 · 10th to 90th $120 to $525
$100$200$500$1K$2K$5K$10Kfacility $347professional $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
$169.82
Median
$891.25
Typical High
$5,888.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$269.15
Typical High
$524.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$269.15
Typical High
$501.19
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$128.82
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$549.54
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$269.15
Typical High
$489.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$407.38
Typical High
$660.69
Medcost
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$426.58
Typical High
$467.74
Medcost
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$295.12
Typical High
$549.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$660.69
Sentara
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$165.96
Typical High
$794.33
Sentara
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$371.54
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$2,754.23
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$239.88
Typical High
$489.78

Where Virginia 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

Virginia· 47th of 50

$629

$282 physician + $347 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.