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Sigmoidoscopy With Ultrasound-Guided Needle Sample

Illinois 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?

$1,148

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $1,148 for this service. Most negotiated rates run $380 to $2,512.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,862 · 10th to 90th $324 to $5,623Professionalmedian $339 · 10th to 90th $186 to $1,175
$1.0$10.0$100.0$1.0K$10.0Kfacility $1,862professional $339

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
$323.59
Median
$1,862.09
Typical High
$5,623.41
BCBS
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,737.80
Typical High
$2,818.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$1,698.24
Typical High
$2,754.23
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$338.84
Typical High
$1,174.90
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,041.74
Typical High
$4,265.80

Where Illinois 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.

Illinois $1,148 · 30th 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.