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Sigmoidoscopy With Ultrasound-Guided Needle Sample

Iowa 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?

$1,000

Typical facility fee. In Iowa, July 2026.

Insurers have agreed to pay about $1,000 for this service. Most negotiated rates run $372 to $3,388.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,512 · 10th to 90th $282 to $6,761Professionalmedian $417 · 10th to 90th $158 to $891
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $2,512professional $417

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
$1,288.25
Median
$3,388.44
Typical High
$7,943.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$562.34
Typical High
$912.01
Medica
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$416.87
Typical High
$3,630.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$416.87
Typical High
$478.63
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$3,090.30
Typical High
$5,128.61

Where Iowa sits

The same service costs 36.3 times more in Indiana than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Iowa $1,000 · 32nd of 50
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.