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Sigmoidoscopy With Ultrasound-Guided Needle Sample

Texas 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?

$1,479

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $1,479 for this service. Most negotiated rates run $398 to $3,162.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,479 · 10th to 90th $204 to $5,370
$200$500$1K$2K$5K$10Kfacility $1,479

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
$537.03
Median
$2,290.87
Typical High
$6,918.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,659.59
Typical High
$3,388.44
Christus
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$707.95
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$870.96
Typical High
$1,659.59
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$19,498.45
Typical High
$19,498.45
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$257.04
Typical High
$446.68
Providence
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$257.04
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,995.26
Typical High
$4,073.80

Where Texas 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.

Texas· 25th of 50

$1,479

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.