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Sigmoidoscopy With Ultrasound-Guided Needle Sample

Wisconsin 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 $3,890 · 10th–90th $234$6,9180%5%10%10th90th$3,890Professionalmedian $355 · 10th–90th $195$5500%10%10th90th$355$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
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$338.84
Typical High
$14,454.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,677.35
Typical High
$7,079.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$501.19
Typical High
$812.83
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$302.00
Typical High
$3,311.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$323.59
Typical High
$4,786.30
Network Health
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$3,890.45
Typical High
$4,570.88
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$218.78
Typical High
$457.09
Quartz
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$354.81
Typical High
$549.54
Quartz
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$3,715.35
Typical High
$3,715.35
Security Health
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$3,548.13
Typical High
$6,025.60