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Sigmoidoscopy With Ultrasound-Guided Needle Sample

Vermont 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 October 2026.

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

$288

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $288 for this service. Most negotiated rates run $240 to $309.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,259 · 10th to 90th $309 to $1,479Professionalmedian $288 · 10th to 90th $204 to $380
$200$500$1Kfacility $1,259professional $288

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$263.03
Typical High
$263.03
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$389.05
Typical High
$602.56
Cigna
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$288.40
Typical High
$309.03
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$331.13
Typical High
$436.52
United
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
United
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$239.88
Typical High
$346.74

Where Vermont sits

The same service costs 5.1 times more in Alaska than in Utah. 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.

Vermont· 18th of 51

$288

AK $676UT $132

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.