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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.

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

$339

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $339 for this service. Most negotiated rates run $234 to $2,630.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $355 · 10th to 90th $191 to $5,370Professionalmedian $204 · 10th to 90th $148 to $380
$100$200$500$1K$2K$5K$10Kfacility $355professional $204

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
$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

Where Virginia 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.

Virginia· 41st of 50

$339

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.