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Sigmoidoscopy With Ultrasound-Guided Needle Sample

New York 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 $3,890 · 10th–90th $380$8,1280%5%10th90th$3,890$200.0$1.0K$5.0K$20.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$3,090.30
Typical High
$7,762.47
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$9,120.11
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$1,258.93
Typical High
$4,073.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$1,698.24
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$389.05
Typical High
$630.96
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,467.37
Typical High
$6,760.83
Univera
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$245.47
Typical High
$1,230.27