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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.

How much does Sigmoidoscopy With Ultrasound-Guided Needle Sample cost?

$3,802

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $3,802 for this service. Most negotiated rates run $2,239 to $5,754.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,169 · 10th to 90th $631 to $12,882Professionalmedian $182 · 10th to 90th $141 to $631
$100$500$2K$10Kfacility $4,169professional $182

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
$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

Where California sits

The same service costs 36.3 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.

California· 7th of 50

$3,802

IN $6,166ND $170

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.