Sigmoidoscopy With Ultrasound Imaging

Nationwide rates for HCPCS 45341

A flexible scope is passed through the anus into the rectum and lower colon, and an ultrasound probe built into its tip produces images of the layers of the bowel wall and the tissue just beyond it. This shows how deeply a growth or other problem reaches, which cannot be judged by looking at the surface alone. No tissue is taken during this examination itself.

Rates data updated July 2026.

How much does Sigmoidoscopy With Ultrasound Imaging cost?

$2,744

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $2,744 for this procedure. That total is two separate charges: $174 to the doctor who performs it, and $2,570 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

6% physician fee94% facility fee

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 58 insurance carriers under federal price transparency rules.

What's inside this number

Part of the bill	Who charges it	Typical	Range
Physician feeThe doctor who performs it	The doctor who performs it	$174	$129 to $269
Facility feeThe hospital or surgery center	The hospital or surgery center	$2,570	$794 to $4,786

How much rates vary

Facilitymedian $2,570 · 10th to 90th $182 to $7,943Professionalmedian $174 · 10th to 90th $115 to $676

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $257.04 Median $2,818.38 Typical High $8,128.31	Facility	Global	$257.04	$2,818.38	$8,128.31
BCBS Setting Facility Modifier Global Typical Low $1,380.38 Median $4,073.80 Typical High $10,000.00	Facility	Global	$1,380.38	$4,073.80	$10,000.00
Cigna Setting Facility Modifier Global Typical Low $194.98 Median $478.63 Typical High $1,318.26	Facility	Global	$194.98	$478.63	$1,318.26
United Setting Facility Modifier Global Typical Low $616.60 Median $2,344.23 Typical High $5,754.40	Facility	Global	$616.60	$2,344.23	$5,754.40

What it costs in each state

The same service costs 10.5 times more in California than in Virginia. 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

Touch or drag across the chart to see any state's rate.

CA $4,307VA $408

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.