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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.

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

$562

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $562 for this service. Most negotiated rates run $331 to $3,311.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $562 · 10th to 90th $251 to $6,607
$200$500$1K$2K$5K$10K$20Kfacility $562

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
$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

Where Washington 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.

Washington· 36th of 50

$562

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.