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Flexible Sigmoidoscopy With Polyp Removal (Snare)

West 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?

$666

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

Insurers have agreed to pay about $666 for this procedure. That total is two separate charges: $229 to the doctor who performs it, and $437 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$229$138 to $309
Facility feeThe hospital or surgery center$437$288 to $1,413

How much rates vary

Facilitymedian $437 · 10th to 90th $126 to $4,365Professionalmedian $229 · 10th to 90th $117 to $380
$100$200$500$1K$2K$5Kfacility $437professional $229

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
$117.49
Median
$436.52
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$229.09
Typical High
$371.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$151.36
CareSource
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$295.12
Typical High
$1,621.81
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$2,041.74
Typical High
$7,585.78
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$154.88
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$1,230.27
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$223.87
Typical High
$467.74

Where West 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

West Virginia· 43rd of 50

$666

$229 physician + $437 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.