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Sigmoidoscopy With Ultrasound-Guided Needle Sample

Washington, DC 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?

$2,138

Typical facility fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $2,138 for this service. Most negotiated rates run $468 to $3,162.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,138 · 10th to 90th $195 to $7,762Professionalmedian $166 · 10th to 90th $158 to $380
$200$500$1K$2K$5K$10K$20Kfacility $2,138professional $166

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$2,137.96
Typical High
$4,073.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$165.96
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$5,248.07
Typical High
$26,302.68

Where Washington, DC 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.

Washington, DC· 18th of 50

$2,138

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.