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Sigmoidoscopy With Ultrasound-Guided Needle Sample

California rates for HCPCS 45342

A flexible scope carrying an ultrasound probe is passed through the anus into the lower large bowel, the ultrasound looks through the bowel wall at deeper structures, and a fine needle is passed under that guidance to draw cells from a target within or beyond the wall. It samples lesions and lymph nodes that a surface biopsy cannot reach. It is done with sedation.

Rates data updated July 2026.

Facilitymedian $4,169 · 10th–90th $631$12,8820%10%10th90th$4,169Professionalmedian $182 · 10th–90th $141$6310%10%20%10th90th$182$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$5,623.41
Typical High
$16,982.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$4,466.84
Typical High
$12,882.50
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$2,884.03
Typical High
$6,456.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$776.25
Typical High
$1,412.54
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$199.53
Typical High
$295.12
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$707.95
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$19,498.45
Typical High
$19,498.45
Providence
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$251.19
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$4,073.80
Typical High
$9,549.93