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Sigmoidoscopy With Ultrasound-Guided Needle Sample

Ohio 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?

$2,630

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $2,630 for this service. Most negotiated rates run $1,318 to $4,677.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,630 · 10th to 90th $324 to $10,233
$200$500$1K$2K$5K$10Kfacility $2,630

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
$263.03
Median
$2,818.38
Typical High
$10,715.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,511.89
Typical High
$7,943.28
CareSource
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$177.83
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$363.08
Typical High
$1,047.13
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$398.11
Typical High
$1,047.13
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$2,137.96
Typical High
$4,677.35

Where Ohio 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.

Ohio· 12th of 50

$2,630

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.