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Flexible Sigmoidoscopy With Lesion Destruction

Iowa rates for HCPCS 45339

An examination of the lower part of the large bowel with a flexible lighted tube passed through the anus. Growths or abnormal patches in the lining are destroyed with heat or another energy source rather than cut out. It reaches only the lower portion of the colon, not all of it.

Rates data updated July 2026.

How much does Flexible Sigmoidoscopy With Lesion Destruction cost?

$513

Typical physician fee. In Iowa, July 2026.

Insurers have agreed to pay about $513 for this service. Most negotiated rates run $398 to $933.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $447 · 10th to 90th $275 to $724Professionalmedian $692 · 10th to 90th $372 to $1,445
$200$500$1K$2K$5K$10Kfacility $447professional $692

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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$501.19
Typical High
$933.25
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$630.96
Typical High
$794.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$446.68
Typical High
$724.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,445.44
Typical High
$1,445.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$691.83

Where Iowa sits

The same service costs 12.9 times more in California than in Florida. 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.

Iowa· 29th of 43

$513

CA $4,169FL $324

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.