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Virginia rates for HCPCS 45342

Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s)

Facilitymedian $398 · 10th–90th $195–$5,8880%5%10th90th$398Professionalmedian $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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $2,570.40 / $7,079.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,981.07 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $645.65 / $707.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $177.83 / $407.38
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $331.13 / $380.19
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $257.04 / $436.52
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $269.15 / $812.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $2,511.89 / $5,370.32