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Sigmoidoscopy With Ultrasound-Guided Needle Sample

New Jersey 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?

$5,623

Typical facility fee. In New Jersey, July 2026.

Insurers have agreed to pay about $5,623 for this service. Most negotiated rates run $3,548 to $7,244.

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 $5,623 · 10th to 90th $2,239 to $10,233
$200$500$1K$2K$5K$10Kfacility $5,623

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
$2,238.72
Median
$5,888.44
Typical High
$10,471.29
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$3,801.89
Typical High
$6,165.95
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$4,897.79
Typical High
$8,511.38

Where New Jersey 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.

New Jersey· 2nd of 50

$5,623

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.