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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.

How much does Sigmoidoscopy With Ultrasound-Guided Needle Sample cost?

$2,630

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $2,630 for this service. Most negotiated rates run $1,288 to $5,370.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,630 · 10th to 90th $295 to $8,318
$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
$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

Where Pennsylvania 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.

Pennsylvania· 11th 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.