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Sigmoidoscopy With Ultrasound-Guided Needle Sample

South Dakota 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?

$295

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $295 for this service. Most negotiated rates run $245 to $339.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $355 · 10th to 90th $162 to $4,365Professionalmedian $295 · 10th to 90th $214 to $389
$200$500$1K$2Kfacility $355professional $295

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
$169.82
Median
$2,290.87
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$302.00
Typical High
$630.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$398.11
Typical High
$398.11
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$288.40
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26

Where South Dakota 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.

South Dakota· 46th of 50

$295

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.