go back

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.

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

$3,020

Typical facility fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $3,020 for this service. Most negotiated rates run $363 to $4,786.

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 10 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,890 · 10th to 90th $234 to $6,918Professionalmedian $355 · 10th to 90th $195 to $550
$200$500$1K$2K$5K$10Kfacility $3,890professional $355

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
$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

Where Wisconsin 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.

Wisconsin· 9th of 50

$3,020

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.