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Sigmoidoscopy With Ultrasound-Guided Needle Sample

North Carolina 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 $324 · 10th–90th $166$5,0120%10%10th90th$324Professionalmedian $380 · 10th–90th $380$3800%50%100%$380$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$2,570.40
Typical High
$7,413.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$758.58
Typical High
$1,230.27
Medcost
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Medcost
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$251.19
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,995.26
Typical High
$6,309.57
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$19,498.45