Sigmoidoscopy With Destruction of Growths

Nationwide rates for HCPCS 45346

A flexible scope is passed through the anus into the lower part of the large bowel, and one or more growths or abnormal areas found there are destroyed in place using heat or a similar energy rather than being cut out. Stretching a narrowed segment or passing a guide wire, if needed to reach the target, is part of the service. It is usually done with light sedation as an outpatient.

Rates data updated July 2026.

How much does Sigmoidoscopy With Destruction of Growths cost?

$4,689

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $4,689 for this procedure. That total is two separate charges: $1,738 to the doctor who performs it, and $2,951 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

37% physician fee63% facility fee

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 57 insurance carriers under federal price transparency rules.

What's inside this number

Part of the bill	Who charges it	Typical	Range
Physician feeThe doctor who performs it	The doctor who performs it	$1,738	$219 to $3,388
Facility feeThe hospital or surgery center	The hospital or surgery center	$2,951	$1,259 to $5,012

How much rates vary

Facilitymedian $2,951 · 10th to 90th $245 to $8,128Professionalmedian $1,738 · 10th to 90th $151 to $4,898

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $436.52 Median $3,019.95 Typical High $8,912.51	Facility	Global	$436.52	$3,019.95	$8,912.51
BCBS Setting Facility Modifier Global Typical Low $1,479.11 Median $4,168.69 Typical High $10,000.00	Facility	Global	$1,479.11	$4,168.69	$10,000.00
Cigna Setting Facility Modifier Global Typical Low $251.19 Median $794.33 Typical High $8,128.31	Facility	Global	$251.19	$794.33	$8,128.31
United Setting Facility Modifier Global Typical Low $645.65 Median $2,454.71 Typical High $5,754.40	Facility	Global	$645.65	$2,454.71	$5,754.40

What it costs in each state

The same service costs 3.2 times more in Nebraska than in Nevada. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility fee

NE $7,717NV $2,378

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.