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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.

Facilitymedian $355 · 10th–90th $162$4,3650%5%10%10th90th$355Professionalmedian $295 · 10th–90th $214$3890%10%20%10th90th$295$200.0$500.0$1.0K$2.0K

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
$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