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Sigmoidoscopy With Ultrasound-Guided Needle Sample

Virginia 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 $191$5,3700%5%10th90th$355Professionalmedian $204 · 10th–90th $148$3800%10%10th90th$204$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$3,235.94
Typical High
$8,317.64
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$616.60
Typical High
$707.95
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$177.83
Typical High
$407.38
Medcost
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$331.13
Typical High
$380.19
Medcost
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$257.04
Typical High
$436.52
Sentara
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$263.03
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$2,754.23
Typical High
$5,495.41