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Sigmoidoscopy With Ultrasound-Guided Needle Sample

Washington 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 $562 · 10th–90th $251$6,6070%10%10th90th$562$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$316.23
Median
$4,265.80
Typical High
$17,782.79
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,715.35
Typical High
$6,456.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$562.34
Typical High
$1,819.70
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$398.11
Typical High
$1,698.24
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$323.59
Typical High
$426.58
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$229.09
Typical High
$912.01
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$3,548.13
Typical High
$6,456.54
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$3,715.35
Typical High
$6,918.31