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Sigmoidoscopy With Ultrasound-Guided Needle Sample

Pennsylvania 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 $2,630 · 10th–90th $295$8,3180%5%10th90th$2,630$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
$295.12
Median
$2,691.53
Typical High
$8,317.64
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$4,466.84
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$912.01
Typical High
$1,778.28
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$954.99
Typical High
$1,122.02
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$2,511.89
Typical High
$7,413.10
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$2,344.23
Typical High
$8,317.64
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,862.09
Typical High
$3,235.94
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$2,041.74
Typical High
$4,265.80