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Sigmoidoscopy With Ultrasound-Guided Needle Sample

Wyoming 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?

$1,784

Typical total for the visit. In Wyoming, October 2026.

Insurers have agreed to pay about $1,784 for this procedure. That total is two separate charges: $525 to the doctor who performs it, and $1,259 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$525$363 to $676
Facility feeThe hospital or surgery center$1,259$1,259 to $1,549

How much rates vary

Facilitymedian $1,259 · 10th to 90th $1,072 to $1,622Professionalmedian $525 · 10th to 90th $251 to $813
$200$500$1K$2K$5Kfacility $1,259professional $525

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
Facility
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$239.88
BCBS Wyoming
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$676.08
Typical High
$812.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$1,548.82
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$323.59
Typical High
$426.58
United
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$1,288.25
Typical High
$5,370.32
United
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$309.03
Typical High
$851.14

Where Wyoming sits

The same service costs 7.7 times more in Colorado than in Montana. 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.

Physician feeFacility fee

Wyoming· 13th of 51

$1,784

$525 physician + $1,259 facility

CO $4,047MT $526

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.